从伪囊到伪动脉瘤:一种复杂的胰腺血管紧急情况,采用多阶段干预性放射学方法
Upali Anand1, Evangelia Florou1, Andrea Fernandez-Pujol1
1Hepato-Pancreato-Biliary Surgery, King's College Hospital, London, GBR.
Cureus
|August 22, 2025
概括
带有伪动脉瘤的出血性胰腺伪囊 (PPs) 是危及生命的. 干预性放射学 (IR) 使用栓塞,包括线圈和,在没有手术可选的情况下成功治疗了复杂的病例.
科学领域:
- 干预性放射学
- 血管外科
- 胃肠病学
背景情况:
- 急性至慢性胰腺炎经常导致胰腺伪囊 (PPs).
- 往往来自相邻动脉的伪动脉瘤 (PAs) 的PP出血是一个关键的并发症.
- 血流性PP与PA的手术选择往往具有高风险或不可行.
研究的目的:
- 呈现一个成功管理的血性胰腺伪囊与伪动脉瘤形成的病例.
- 突出干预放射学 (IR) 在处理这些复杂病例中的关键作用.
- 展示用于治疗胰腺瘤的先进内血管技术.
主要方法:
- 一名43岁的男性患有慢性胰腺炎和肝硬化,
- 图像扫描显示胰腺头部有一个出血的囊,从胰腺管道流出活跃的血液.
- 使用线圈,Glubran II粘合剂和支架进行了多次内血管栓塞.
主要成果:
- 在5次血管检查后,所有血管都完全封闭.
- 在没有手术的情况下成功控制了患者的出血.
- 这一病例是首次采用包括新材料在内的多阶段IR方法治疗持续出血的伪囊.
结论:
- 血管内栓塞是出血性胰腺瘤的首要治疗方法.
- 当手术是不可行的时, 干预性放射学提供了一种拯救生命的替代方案.
- 多学科决策和先进的栓塞技术对于管理这些罕见而复杂的疾病至关重要.
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