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肝动脉动脉瘤在初始线圈栓塞7年后晚期复发:一种结合的内血管管理
Bruno Vieira1,2, Miguel Maia3, João Pinto-de-Sousa2,1
1General Surgery, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Cureus
|February 6, 2026
概括
复发性肝动脉动脉瘤 (HAA) 可能在治疗后多年发生. 一种结合的内血管方法,包括线圈栓塞和覆盖式支架,有效地治疗了大量的,晚期复发的HAA,强调监测.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 肝胆道医学 肝胆道医学
背景情况:
- 肝动脉动脉瘤 (HAA) 是一种罕见的,可能危及生命的血管异常.
- 内血管治疗是标准的,但长期耐用性和复发风险仍然存在.
- 在线圈栓塞后的晚期复发带来了重大的再治疗挑战.
研究的目的:
- 报告一个大,复发性肝动脉动脉瘤的病例,在初始卷轴栓塞后7年出现.
- 用联合内血管技术描述复杂的复发性HAA的成功管理.
- 强调长期监测对于检测非常晚的复发的重要性.
主要方法:
- 一个病例报告,一个83岁的男性患有大,无症状,反复复发的HAA.
- 治疗包括对动脉瘤囊的补充线圈栓塞.
- 部署一个覆盖的支架以排除动脉瘤,同时保持肝动脉流动.
主要成果:
- 结合的内血管方法成功排除了复发的HAA.
- 患者在治疗后仍然没有症状.
- 远端肝动脉的流量得到了保留.
结论:
- 在线圈栓塞后,HAA的非常晚复发是可能的.
- 长时间的成像监测对于早期检测复发性HAA至关重要.
- 结合内血管治疗为复杂的复发性HAA提供了安全有效的解决方案.
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