用线圈栓塞成功治疗间叶段巨大的肺伪动脉瘤:一个案例报告
Masao Takahashi1, Koichiro Matsuura1, Ken Nakazawa2
1Department of Diagnostic Radiology, Saitama Medical University Hospital, Iruma, Saitama, Japan.
Annals of vascular diseases
|February 23, 2026
概括
线圈栓塞成功地治疗了肺动脉伪动脉瘤在一个患者与empyema. 这种内血管技术避免了手术,尽管肺 perfusion 损失,患者不需要补充氧气.
科学领域:
- 心血管外科心血管外科
- 干预性放射学 干预性放射学
- 肺部医学 肺部医学
背景情况:
- 肺动脉的阳性伪动脉瘤是罕见但严重的并发症.
- 由于感染风险,需要仔细考虑治疗选择.
研究的目的:
- 评估内血管线圈栓塞的疗效,以治疗间叶片段的阳性肺动脉伪动脉瘤.
- 评估这种方法在患有并发性empyema的患者中的可行性.
主要方法:
- 一名62岁的男性患有 empyema 经历了多发性排水的尝试,导致右肺动脉伪动脉瘤.
- 使用金属线圈进行栓塞的内血管治疗被选为外科手术.
- 肺动脉的间叶片段已经成功地栓塞.
主要成果:
- 线圈栓塞导致右肺中叶和下叶血 perfusion 的阻塞.
- 尽管输液流失很大,但患者在术后不需要补充氧气.
- 伪动脉瘤在没有手术的情况下得到了有效的治疗.
结论:
- 血管内线圈栓塞是支架移植的可行替代方案,用于管理肺动脉伪动脉瘤,即使在具有挑战性的分叶间位置.
- 这种技术可以安全地用于患有恩皮埃马的患者,提供一种不那么侵入性的选择.
- 仔细的患者选择和技术对于减轻诸如术后低氧化症等风险至关重要.
相关概念视频
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
533
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
533
Aneurysm III: Interprofessional Care
365
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
365
Pulmonary Embolism III: Nursing Management
498
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
498

