伪动脉瘤 胆管后支架:一个全面的文献综述
Erica Loon1, Mohanad Awadalla2, Abdellatif Ismail3
1Department of Medicine, University of Minnesota Medical Center, Minneapolis, MN, USA.
Digestive diseases and sciences
|April 2, 2025
概括
胆管支架后的伪动脉瘤很少发生,但很严重. 大多数病例涉及用于胰腺癌的金属支架,出现出血并通过栓塞成功治疗.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 伪动脉瘤 (PSA) 是内镜胆道支架的罕见但危及生命的并发症.
- 这些伪动脉瘤的发生率,诊断,治疗和预防尚未得到充分证实.
研究的目的:
- 评估胆管支架安置与伪动脉瘤发育之间的关联.
- 审查胆管支架后伪动脉瘤的发生率,诊断方法,治疗策略和结果.
主要方法:
- 在多个数据库中进行了全面的文献搜索.
- 包括在内的研究报告胆汁支架放置后的伪动脉瘤,数据提取遵循PRISMA指南.
主要成果:
- 32项研究 (36名患者) 符合纳入标准. 大多数患者在胰腺腺癌的常见胆道中安装了支架.
- 胃肠道出血 (75%) 是最常见的症状,伪动脉瘤通常位于肝动脉 (55.6%).
- 诊断血管造影 (55.6%) 和栓塞 (86.1%) 是主要的诊断和治疗方式. 大多数患者完全康复.
结论:
- 胆管支架后的伪动脉瘤经常伴有胃肠道出血.
- 患有胰腺胆道恶性瘤金属支架的患者,以及先前接受过化疗/放射治疗的患者,风险更高.
- 血管造影和栓塞是诊断和管理的关键.
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