覆膜支架腔内修复治疗肝移植术后肝动脉假性动脉瘤

The endovascular repair with stent graft for hepatic arterial pseudoaneurysm after liver transplantation

目的:总结覆膜支架腔内修复治疗肝移植术后肝动脉假性动脉瘤的初步经验。方法:对4例肝移植术后肝动脉假性动脉瘤患者行动脉造影检查,覆膜支架腔内修复治疗。结果:所有患者肝动脉假性动脉瘤均通过动脉造影明确诊断。2例患者经覆膜支架腔内修复治疗痊愈,1例患者经覆膜支架腔内修复治疗1周后出现内漏,经植入裸支架和瘤腔栓塞治疗痊愈。1例覆膜支架植入失败。结论:覆膜支架腔内修复术是治疗肝移植后肝动脉假性动脉瘤的有效方法。

Objective： To summarize arteriography the preliminary in experience of endovascular repair with stent graft for hepatic arterial pseudoaneurysm after liver transplantation. Methods： Four patients with hepatic arterial pseudoaneurysm after liver transplantation were received hepatic angiography examination and stent graft implantation to repair artery. Results： All patients were diagnosed by hepatic angiopraphy. 2 cases were recovered after stent graft placement. 1 case arose internal leak after treatment one week later and recovered by stent placement and pseudoaneurysm embolization. 1 case was failed to place stent graft. Conclusion： The endovascular repair with stent graft is effective for hepatic arterial pseudoaneurysm after liver transplantation. Arteriography can confirm the diagnostic results.