中国临床医学2011，Vol.18Issue(2)：188-190,3.
经导管弹簧圈漂流法治疗脾动脉瘤的疗效与安全性
Transcather Embolization of Splenic Artery Aneurysms by Drifting-Coils Method
刘凌晓 1王建华 1王小林 1罗剑钧 1施惠斌 1颜志平1
作者信息
- 1. 复旦大学附属中山医院介入科,上海,200032
- 折叠
摘要
Abstract
Objective:To evaluate the efficacy and safety of the techniques of transcatheter embolization by drifting-coils in treatment of splenic artery aneurysms(SAAs). Methods: The Clinical data of 25 patients with SAAs between 2005 and 2010 for treated with catheter-based techniques were reviewed retrospectively. Sixteen were women, the median age was 54 years. Among 25 patients, 28 were SAAs, 4 were pseudoaneurysms, 19 were solitary aneurysms,25 were saccular forms, of which 9 involved the middle portion of splenic artery, 11 involved the splenic hilum and 8 involved the proximal portion of the splenic artery. And 36％ of them had portal hypertension. The median aneurysm diameter was 32mm (range, 15 - 65 mm). Transcatheter endovascular coil embolization was used in 22 procedures, the techniques of transcatheter embolization by Drifting-coils was used in 15 of them. Stent graft placements were used to treat 2 patients with combined embolization of distal splenic artery. Results: Technical success was achieved in 100％ of 24 of procedures. No significant complication was observed except for 10 slight post operative embolization symptoms and 7 slight splenic infarctions. An average follow-up duration of 18. 1 months revealed no recurrence of areurysms and Doppler ultrasound scan showed patency of 2 stent grafts. One SAA with no intervention showed no changes. No significant difference between the embolization by drifting-coils group and no drifting-coils in embolization group was found by evaluating their technical success, 30-day mortality, post-embolization symptoms, splenic infarction, the reperfusion of sac during follow-up period. Conclusions: The techniques of transcatheter embolization by drifting-coils are safe and effective methods for the treatment of splenic artery aneurysms.关键词
脾动脉瘤/弹簧圈漂流法/栓塞/覆膜支架分类
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刘凌晓,王建华,王小林,罗剑钧,施惠斌,颜志平..经导管弹簧圈漂流法治疗脾动脉瘤的疗效与安全性[J].中国临床医学,2011,18(2):188-190,3.
