[1]赵国峰,邓 钢,秦永林,等.微弹簧圈栓塞治疗下肢创伤性假性动脉瘤[J].介入放射学杂志,2020,29(05):489-492.
 ZHAO Guofeng,DENG Gang,QIN Yonglin,et al.Microcoil embolization for the treatment of traumatic pseudoaneurysm of lower extremity[J].journal interventional radiology,2020,29(05):489-492.
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微弹簧圈栓塞治疗下肢创伤性假性动脉瘤()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年05
页码:
489-492
栏目:
临床研究
出版日期:
2020-05-25

文章信息/Info

Title:
Microcoil embolization for the treatment of traumatic pseudoaneurysm of lower extremity
作者:
赵国峰 邓 钢 秦永林 柏志斌 张 毅 计佳杰 滕皋军
Author(s):
ZHAO Guofeng DENG Gang QIN Yonglin BAI Zhibin ZHANG Yi JI Jiajie TENG Gaojun.
Department of Interventional Radiology and Vascular Surgery, Affiliated Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu Province 210009, China
关键词:
【关键词】 假性动脉瘤 弹簧圈 血管腔内治疗
文献标志码:
A
摘要:
【摘要】 目的 评估微弹簧圈栓塞治疗下肢创伤性假性动脉瘤(TPA)的有效性和安全性。 方法 回顾性分析2016年4月至2018年6月南京中大医院采用微弹簧圈栓塞治疗的4例下肢TPA患者临床资料。术前CTA和术中DSA造影评估TPA形态学特征、载瘤动脉解剖特点及侧支循环情况,术中造影明确诊断后以微弹簧圈栓塞载瘤动脉和瘤体。术后复查CTA评估瘤体栓塞效果,TPA有无复发,弹簧圈有无移位,随访观察患者临床症状、体征改善情况及有无并发症发生。结果 4例患者下肢TPA均经术前CTA和术中造影明确诊断,瘤体栓塞术均获成功,术后即刻复查造影见瘤体消失,未见弹簧圈异位栓塞。术后患者症状、体征明显改善,无并发症出现,随访复查CTA均未见假性动脉瘤复发。结论 微弹簧圈栓塞治疗下肢TPA患者安全有效,优势明显,可作为优选栓塞材料。

参考文献/References:

[1] 湛 杨, 周兴立, 尹存平, 等. 创伤性假性动脉瘤的腔内微创治疗[J]. 西南国防医药, 2016, 26: 837- 840.
[2] 窦树彬, 葛世堂, 张 焰, 等. 血管内支架置入术治疗创伤性假性动脉瘤19例分析[J].中华实用诊断与治疗杂志, 2018,32: 455- 457.
[3] 张希全, 葛世堂, 齐德明, 等. 创伤性假性动脉瘤的腔内介入治疗[J]. 中国血管外科杂志?电子版, 2017, 9: 183- 186.
[4] Kolluri R, Fowler B, Nandish S. Vascular access complications: diagnosis and management[J]. Curr Treat Options Cardiovasc Med, 2013, 15: 173- 187
[5] Taif SD, Talib M. Superior gluteal artery pseudoaneurysm presenting as a gluteal mass: case report and review of literature[J]. J Clin Imaging Sci, 2013, 3: 49- 52.
[6] Sami MT, Gattozzi DA, Soliman HM, et al. Use of PipelineTM embolization device for the treatment of traumatic intracranial pseudoaneurysms: case series and review of cases from literature[J]. Clin Neurol Neurosurg, 2018, 169: 154- 160.
[7] Spanos K, Karathanos C, Stamoulis K, et al. Endovascular treatment of traumatic internal carotid artery pseudoaneurysm[J]. Injury, 2016, 47: 307- 312.
[8] Zhong S, Zhang X, Chen Z, et al. Endovascular repair of blunt popliteal arterial injuries[J]. Korean J Radiol, 2016, 17: 789- 796.
[9] Zhang L, Yin CP, Li HY, et al. Multiple overlapping bare stents for endovascular visceral aneurysm repair: a potential alternative endovascular strategy to multilayer stents[J]. Ann Vasc Surg, 2013, 27: 606- 612.
[10] 陈 卫, 王 煊, 黄加胜. 血管内栓塞治疗外周假性动脉瘤[J]. 医学影像学杂志, 2015, 26: 1073- 1075.
[11] 李 臻, 李 鑫, 詹鹏超, 等. 肝动脉假性动脉瘤相关胆道出血介入治疗效果[J]. 介入放射学杂志, 2018, 27: 889- 892.
[12] 李 鑫, 王莉娟, 张祖健, 等. 医用胶栓塞肝动脉假性动脉瘤16例临床效果[J]. 介入放射学杂志, 2018, 27: 959- 962.
[13] 张翔宇, 赵 卫, 黄建强, 等. 介入栓塞治疗肾假性动脉瘤临床应用价值[J]. 介入放射学杂志, 2015, 24: 379- 382.
[14] 杜亚辉, 刘小伟, 何国军, 等. Solitaire AB支架成功取出脱出移位弹簧圈一例[J]. 中华介入放射学电子杂志, 2017, 5: 199- 201.
[15] Kaczynski J, Beveridge E, Holdsworth RJ. Iatrogenic pseudo- aneurysm of the peroneal artery[J]. BMJ Case Rep, 2016, 2016: bcr2016215836.

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备注/Memo

备注/Memo:
(收稿日期:2019- 04- 27)
(本文编辑:边 佶)
更新日期/Last Update: 2020-05-22