在患有同时出现巨型腹腔大动脉动脉瘤和肝动脉的患者中进行分阶段干预
Chunyan Zhu1, Tong Zhou1, Tudi Li1
1Cardiovascular Department, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
The Journal of international medical research
|March 13, 2025
概括
本案例报告详细介绍了同时发生巨型腹腔大动脉和肝动脉动脉瘤的成功内血管支架移植. 同时巨型动脉瘤带来复杂的挑战和增加的风险,需要个性化治疗策略.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 动脉瘤管理 动脉瘤管理
背景情况:
- 腹腔大动脉动脉瘤是常见的; 脊柱动脉瘤是罕见的.
- 两个巨大的动脉瘤同时发生是非常罕见的.
- 巨型动脉瘤具有明显的破裂和并发症风险.
研究的目的:
- 报告一种罕见的同时发生巨型腹腔大动脉动脉瘤和肝动脉动脉瘤的病例.
- 描述这个复杂的演示文稿的成功管理.
- 突出治疗多重大动脉瘤的挑战和考虑因素.
主要方法:
- 一位67岁的男性患者出现了周疼痛.
- 诊断一个巨大的腹腔大动脉动脉瘤和肝动脉动脉瘤.
- 通过分阶段内血管支架移植程序成功治疗.
主要成果:
- 患者的腹部疼痛在术后得到缓解.
- 两种巨型动脉瘤的成功管理.
- 在3,6个月和9个月的随访期间没有观察到晚期并发症.
结论:
- 同时发生的巨型动脉瘤显著增加了破裂和手术并发症的风险.
- 这种病例的治疗策略复杂且高度个性化.
- 内血管支架移植可以成为复杂,同时发生动脉瘤的可行选择.
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