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用流量修改技术治疗与巨大的胰腺动脉静脉形相关的胰腺伪动脉瘤的内血管治疗

Kohei Hamamoto¹, Ryoma Kobayashi¹, Emiko Chiba¹

¹Department of Radiology, Jichi Medical University, Shimotsuke-city, Tochigi 329-0498, Japan.

BJR case reports

|March 13, 2026

概括

这份病例报告描述了一种罕见的伪动脉瘤病例,并伴随着巨大的胰腺动脉静脉形 (PAVM). 使用N-丁烯酸酸盐 (NBCA) 栓塞的内血管治疗成功治疗了这种情况.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
胃肠病学胃肠病学

背景情况:

胰腺动脉静脉形 (PAVM) 是一种罕见的血管异常.
伪动脉瘤与PAVM的同时存在非常罕见.
这个病例涉及一个巨大的PAVM与胰腺头部的伪动脉瘤.

研究的目的:

报告一种与大规模PAVM相关的伪动脉瘤病例.
详细介绍使用内血管治疗成功治疗这种罕见疾病的方法.
突出特定的栓塞技术的临床实用性.

主要方法:

一名67岁的女性患者患有急性背痛,出现了巨大的PAVM.
用对比增强的计算机断层扫描发现了一个伪动脉瘤和血液瘤.
进行了透气管动脉栓塞 (TAE),涉及初始线圈栓塞以改变流量,随后是伪动脉瘤的N-丁烯酸 (NBCA) 栓塞.

主要成果:

鉴定导致栓塞的罪祸首动脉是具有挑战性的,因为广泛的PAVM血管网络.
使用线圈栓塞修改局部血液动力学,可检测罪的动脉.
使用NBCA.成功地实现了伪动脉瘤的栓塞.

结论:

内血管治疗,特别是结合流量修改的NBCA栓塞,在临床上对管理与大规模PAVMs相关的伪动脉瘤有用.
这种方法为这种异常罕见的血管异常提供了最少的侵入性治疗选择.
该案例强调了先进的干预技术在复杂的血管病理中的重要性.

关键词:

胰腺动脉静脉形形伪动脉瘤是一种伪动脉瘤.通过导管进行动脉栓塞.

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