线圈迁移:从破裂的大动脉伪动脉瘤到支气管
Hao Liu1,2,3, Zhihui Dong1,2,3, Weiguo Fu1,2,3
1Departments of Vascular Surgery of Zhongshan Hospital, Fudan University, Shanghai, China.
EJVES vascular forum
|October 27, 2025
概括
动脉瘤栓塞后的线圈迁移是罕见的. 一个病例报告详细介绍了一个患者从结核性大动脉虚动脉瘤中经历了线圈迁移到呼吸道,并通过内镜技术成功治疗.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 肺部病理学 肺部病理学
背景情况:
- 线圈迁移是动脉瘤线圈栓塞后的一个罕见并发症.
- 结核性大动脉伪动脉瘤带来了独特的管理挑战.
研究的目的:
- 报告一种罕见的情况,在结核性大动脉弧形伪动脉瘤的内血管修复后,线圈迁移到呼吸系统.
- 突出在真菌性动脉瘤中线圈栓塞的潜在风险.
- 为了呈现线圈迁移的内镜管理.
主要方法:
- 一名患有破裂的结核性大动脉形伪动脉瘤的患者接受了紧急内血管修复和栓塞.
- 计算机断层扫描血管造影 (CTA) 和支气管检查用于诊断线圈迁移.
- 用了包括激光和子剪刀在内的内镜技术来去除线圈.
主要成果:
- 线圈从大动脉伪动脉瘤迁移到支气管,气管和喉得到证实.
- 内镜去除迁移的线圈成功地缓解了患者的症状.
- 随访CTA表明没有剩余的迁移线圈.
结论:
- 在破裂的真菌性大动脉动脉瘤中,应非常谨慎地使用线圈栓塞,因为可能出现线圈迁移等并发症.
- 严格的随访对于检测并发症至关重要.
- 内镜技术为线圈迁移到呼吸道提供了可行的治疗选择.
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