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用分阶段的混合方法修复巨型动脉瘤

Blaz Podgorsek¹, Ioannis Zoupas¹, Karen E Edgington¹

¹Department of Cardiothoracic and Vascular Surgery, University of Texas McGovern Medical School, Houston, TX.

Journal of vascular surgery cases and innovative techniques

|October 27, 2025

概括

巨型动脉动脉瘤 (>5厘米) 很少见,但很危险. 一种分阶段的混合方法,结合了内血管栓塞和开放式手术,成功治疗了18厘米大的动脉瘤,解决了症状并消除了破裂风险.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
腹腔大动脉动脉瘤腹腔大动脉动脉瘤

背景情况:

动脉动脉瘤 (SAA) 是最常见的内脏动脉动脉瘤.
巨大的SAA (>5厘米) 由于高破裂风险和复杂的解剖学,存在重大挑战.
症状巨大的SAA需要有效的治疗策略.

研究的目的:

介绍一例具有症状的巨型SAA病例,该病例用分阶段混合方法治疗.
评估这种方法在管理复杂的SAA时的有效性和安全性.
为突出对解剖学上具有挑战性的病例进行分阶段管理的好处.

主要方法:

一个18厘米的症状SAA病例得到了治疗.
采用了一种分阶段的混合方法,从靠近脏动脉的内血管栓塞开始.
随后进行了开放式手术切除和脊髓切除术.

主要成果:

这种分阶段混合式方法使得准确的流入控制成为可能.
在手术过程中,手术内出血被尽量减少.
患者经历了症状缓解和完全消除破裂风险.

结论:

对解剖学复杂的巨型SAA来说,分阶段管理是有价值的.
混合方法提供了一种安全有效的治疗选择.
这一策略确保在具有挑战性的情况下完全消除破裂风险.

关键词:

血管内栓塞是血管内栓塞.巨大的脏动脉动脉瘤混合手术方法的混合手术方法.

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