破裂的囊性动脉伪动脉瘤的栓塞通过皮肤注射
Fatih Hakan Tufanoğlu1, Behiç Akyüz1
1Department of Radiology, Bursa City Hospital, Bursa, Turkey.
Vascular
|October 5, 2024
概括
皮肤注射血栓激素为罕见的囊性动脉伪动脉瘤提供了最少侵入性的治疗选择. 这种技术成功地堵塞了老年患者的伪动脉瘤,避免了与手术和对比介质相关的风险.
科学领域:
- 这是血管外科手术.
- 干预性放射学是干预性的放射学.
- 胃肠病学 胃肠病学
背景情况:
- 囊性动脉伪动脉瘤是一种罕见的疾病,经常出现危及生命的破裂和出血性休克.
- 诊断通常涉及超声波和对比增强断层扫描.
- 胆囊切除术是传统的治疗方法,但在不稳定的患者中可能具有风险.
研究的目的:
- 介绍一个86岁的男性患有糖尿病和阿尔茨海默氏症的病例,他接受了伪动脉瘤治疗.
- 要突出皮肤穿透注射血栓激素用于伪动脉瘤治疗的技术方面.
- 评估这种微创方法的有效性和安全性.
主要方法:
- 在超声波指导下,将21度奇巴针插入伪动脉瘤囊中.
- 缓慢,可控地注射0.5厘米的血栓因即时封闭而形成.
- 术后多普勒成像以确认伪动脉瘤没有填充.
主要成果:
- 通过皮肤注射血栓激素成功地实现了伪动脉瘤的即时封闭.
- 多普勒成像证实了手术后没有血液流入伪动脉瘤的情况.
- 这种方法避免了手术和对比诱导脏病的风险.
结论:
- 皮肤注射血栓激素是胆囊伪动脉瘤的可行治疗选择,特别是在手术带来高风险的患者中.
- 该程序在技术上是可行的,并且在这种情况下立即取得了成功.
- 需要进一步的研究来确定这种干预措施的长期成功率.
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