内脏动脉伪动脉瘤-一项临床审查
Ashita Ashish Sule1, Shreya Sah2, Justin Kwan3
1Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Drive, Singapore 117597, Singapore.
Medicina (Kaunas, Lithuania)
|July 30, 2025
概括
内脏动脉伪动脉瘤 (VAPA) 是一种罕见但危险的血管疾病. 早期诊断和干预对于管理这些脏动脉伪动脉瘤和预防高死亡率至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 内脏动脉伪动脉瘤 (VAPA) 是不常见的血管病变,发病率为0.1-0.2%,经常影响动脉.
- 动脉壁的部分破坏,包括内脏和介质,是VAPA的特征.
- 破裂的高风险和未经管理的情况下90%的死亡率强调了及时识别和干预的关键需要.
研究的目的:
- 综合当前关于内脏动脉伪动脉瘤 (VAPAs) 的知识.
- 审查VAPAs的流行病学,病因学,临床表现,诊断方法和管理策略.
- 根据胚胎起源分组VAPA:前肠,中肠和后肠.
主要方法:
- 在PubMed上进行了全面的文献搜索,寻找与VAPA相关的文章.
- 包括的研究包括案例报告,综述文章和队列研究.
- 根据VAPA的胚胎起源,VAPA被分类.
主要成果:
- 慢性胰腺炎是VAPAs的主要原因,在60-65%的病例中脏动脉受到影响.
- 其他病因包括急性胰腺炎,阳性创伤,感染和血管疾病.
- 诊断采用非侵入性 (CT血管造影,多普勒超声波) 和侵入性 (数字减去血管造影) 方法,后者是黄金标准.
结论:
- VAPAs代表了一个关键的情况,需要立即识别和干预.
- 管理策略包括手术和内血管方法,趋向于最少侵入性技术.
- 需要进一步的研究来提高诊断准确性和完善治疗方案,以改善患者的治疗结果.
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