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在隔离的腹腔大动脉剖析中用血管塞完全关闭入口:一个病例报告

Shin Hasegawa¹, Soh Hosoba², Akimitsu Tanaka¹

¹Department of Cardiology, Nagoya Tokushukai General Hospital, 2-52 Kozoji-cho Kita, Kasugai, Aichi 487-0016, Japan.

European heart journal. Case reports

|December 11, 2025

概括

隔离腹腔大动脉解剖 (IAAD) 治疗是不确定的. 用AMPLATZER Vascular Plug II (AVP II) 密封入口,有效地减少了动脉瘤的大小和泄漏,为IAAD管理提供了不那么侵入性的选择.

科学领域:

血管外科血管外科
干预心脏病学干预心脏病学
大动脉疾病管理管理

背景情况:

隔离腹腔大动脉解剖 (IAAD) 是一种罕见的疾病,治疗指南不清楚.
血管内插件在胸部剖析方面表现有前途,但它们在IAAD中的使用尚未得到充分证实.
保守的管理是典型的,但迅速的动脉瘤扩张带来了破裂的风险.

研究的目的:

评估内血管塞在管理IAAD时的疗效.
通过使用安普拉策血管插头II (AVP II) 进行IAAD治疗的成功案例.
探索AVP II作为IAAD的一种不那么侵入性的替代方案.

主要方法:

一名79岁的女性患者被诊断出患有急性斯坦福B型大动脉解剖和腹腔大动脉/右常见门动脉 (CIA) 瘤.
随访CT显示了快速的CIA动脉瘤扩张.
为了防止破裂,使用AMPLATZER血管插头II (AVP II) 密封了两个亲密撕裂.

主要成果:

在AVP II部署后,完全消除了对比性泄漏到虚假光线中.
中期随访显示动脉瘤大小减少.
该AVPII促进了虚假光线内的血栓形成,阻止了扩张.

结论:

基于AMPLATZER血管插头的入口关闭是IAAD管理的有效和不那么侵入性的策略.
这种方法为开放性手术或内血管大动脉修复提供了替代方案,特别是在复杂的解剖学中.
需要进一步的研究来证实IAAD中AVP II的长期安全性和有效性.

关键词:

腹腔大动脉动脉瘤腹腔大动脉动脉瘤阿姆普拉特泽血管插头案例报告案例报告血管内治疗血管内治疗隔离的腹腔大动脉剖析.

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