外周血管假性动脉瘤的介入治疗

施海彬 顾建平 何旭 梁定 冯耀良 王杰 吕朋华 李麟荪
【摘要】 目的 介绍不同类型外周血管假性动脉瘤的不同治疗方法。方法 13 例假性动脉
瘤, 3 例终末型动脉的假性动脉瘤采用明胶海绵进行栓塞, 其中1 例巨大血肿伴假性动脉瘤经栓塞后
作手术血肿清除加动脉结扎术进行治疗; 1 例支干型假性动脉瘤采用两端弹簧圈栓塞; 9 例主干性外
周动脉假性动脉瘤采用覆膜支架隔绝术。结果 所有假瘤均完全闭合, 置入覆膜支架者其远端动脉
搏动均正常。1 例患者由于其他特殊原因, 致穿刺部位又出现假性动脉瘤。其他患者无明显并发症。
结论 采用介入技术可使各种外周血管假性动脉瘤得到有效治疗, 多数情况下可以代替外科治疗。
【关键词】 外周血管疾病; 动脉瘤, 假; 支架; 栓塞, 治疗性; 放射学, 介入性
Percutaneous intra arter ial t her apy of peripher al pseudoaneur ysm SHI Hai-bin* , GU J ian-ping,
HE Xu, LIANG Ding, FENG Yao-liang, WANG Jie, LU Peng-hua , LI Lin-sun. * Department of Ra diology,
The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
【Abstra ct 】 Objective To introduce the therapeutic choices for different types of peripheral
pseudoaneurysms. Methods Peripheral pseudoaneurysm was interventionally treated in 13 patients.
Intraarterial embolization was performed with gelfoam in 2 patients with terminal type. Elimination of
hematoma and ligature of artery were surgically done following embolization in a patient with huge hematoma
and pseudoaneurysm. Proximal and distal to pseudoaneurysm in branch of deep femoral artery were
respectivelly embolized with metallic coils in a patient. Endovascular covered stent graft was inserted for
separation of pseudoaneurysm in 9 patients with trunk type. Result s Pseudoaneurysm kept closed after
treatment in all 13 patients. Distal arterial pulse was normal in 9 patients treated with stent graft. A new
pseudoaneurysm presented as a complication at puncture site in 1 patient due to other factors. There were no
other symptomatic complications. Conclusion Peripheral pseudoaneurysms can be effectively treated with
interventional techniques instead of surgical operation.
【Key wor ds 】 Peripheral vascular diseases ; Aneurysm, false; Stent; Embolization,
therapeutic; Radiology, interventional

外周血管假性动脉瘤的介入治疗.rar