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血管造影栓塞治疗外伤性假性动脉瘤 被引量:2

RESEARCH OF TREATMENT OF TRAUMATIC PSEUDOANEURYSM WITH ARTERIAL EMBOLIZATION
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摘要 [目的]探讨血管造影栓塞术治疗外伤性假性动脉瘤的疗效。[方法]对2例经鼻腔填塞失败的外伤性假性动脉瘤患者,行超选择血管栓塞术。[结果]全部栓塞成功,无一例出现严重并发症。[结论]血管栓塞术是一种安全、有效的止血方法,尤其对年长或伴有其他疾病的顽固性鼻出血患者,在保守治疗失败的情况下,该术式是治疗的最佳选择。同时认为,栓塞血管前行血管造影、找到责任血管是止血成功的关键。排除血管之间的异常交通和变异,提高操作者技术的熟练程度和超选择栓塞是预防严重并发症的必要措施。 [ Objective] To explore the curative effect of traumatic pseudoaneurysm with the operation of arterial embolization. [ Methods] The embolization following angiographic localization were used in two patients with traumatic pseudoa- neurysm. [ Results ] They were cured and had no any serious complication. [Conclusion ] Embolization is the safe and effective method for treatment of traumatic pseudoaneurysm and it is the best method in the elder patients with other diseases. It is the best choice when conservative treatment fails. There is the key that before embolization we make angiography and find the bleeding vessels. The technique of embolization and superselective embolization are both important measures in decreasing severe complications.
出处 《现代预防医学》 CAS 北大核心 2008年第9期1743-1744,共2页 Modern Preventive Medicine
关键词 假性动脉瘤 血管造影栓塞 创伤 Pseudoaneurysm Angiography embolization Trauma
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参考文献5

  • 1肖福顺,吴中学,李佑祥,杨新健,姜除寒,亓卫国.血管内栓塞治疗15例假性动脉瘤[J].中国临床神经外科杂志,2002,7(1):17-19. 被引量:10
  • 2Yamakado K, Nakatsuka A, Tanaka N, et al. Transcatheter arterial embolization of ruptured pseudoaneurysms with coils and n-butyl cyanoacrylate[J]. J Vasc Interv Radiol, 2000, 11 : 66-72.
  • 3Renn WH, Rhoto AL. Microsurgical anatomy of the sellar region [J].J Neurosurg, 1975, 43: 288-298.
  • 4Chambers EF, Rosenbaum AE, Norman D, et al. Traumatic aneurysms of the cavernous internal carotid artery with secondary epistaxis [J].AJNR, 1981, 2: 405-409.
  • 5Lempert TE, Halbach VV, Higashida RT, et al. Endovascular treatmeat of pseudoaneurysms with electrolytically detachable coils [J]. AJNR, 1998, 19: 907-911.

二级参考文献4

  • 1[1]Renn WH, Rhoton AL. Microsurgical anatomy of the sellar region [J]. J Neurosurg 1975, 43: 288~298.
  • 2[2]Lempert TE, Halbach VV, Higashida RT, et al . Endovascular treatment of pseudoaneurysms with electrolytically detachable coils [J]. AJNR 1998;19: 907~911.
  • 3[3]Chambers EF, Rosenbaum AE, Norman D, et al . Traumatic aneurysms of the cavernous internal carotid artery with secondary epistaxis [J]. AJNR, 1981, 2: 405~409.
  • 4[4]Perez-Cruet MJ, Patwardhan RV, Mawad ME, et al .Treatment of dissecting pseudoaneurysm of the cervical intemal carorid artery using a wall stent and detachabal coils: case report [J]. Neurosurgery, 1997, 40: 622~625.

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