血管腔内治疗腹腔干动脉瘤16例效果分析

The endovascular treatment for celiac axis aneurysms: curative effect analysis of 16 cases

【摘要】目的探讨腹腔干动脉瘤（CAA）血管腔内治疗方法。 方法回顾性分析2011年6月至2015年12月共16例连续的CAA患者腔内介入治疗情况。11例单纯弹簧圈栓塞术,4例弹簧圈栓塞加覆膜支架植入术,1例多层裸支架植入术。术后第3、6、12个月及之后每年随访复查CTA,记录并评价围手术期和随访期临床结果指标。 结果手术技术成功率为100%。平均手术时间（91.56±39.30） min,平均住院时间（5.25±1.44） d。所有患者术后均经规律随访1~54个月,总生存率100%,CTA复查未发现弹簧圈异位、支架移位,瘤体增大、破裂或再通。 结论血管腔内治疗CAA技术成功率高,并发症发生率、死亡率低,是一种安全有效的治疗方法。

Objective To discuss the curative effect of endovascular interventional treatment for celiac axis aneurysms（CAA）. Methods The clinical data of 16 consecutive patients with CAA, who were admitted to authors＇ hospital to receive endovascular intervention from June 2011 to December 2015, were retrospectively analyzed. Pure coil embolization was employed in 11 patients, coil embolization together with covered stent implantation was adopted in 4 patients, and multiple overlapping bare stent deployment was conducted in one patient. Follow-up CT angiography was carried out at 3, 6 and 12 months after the treatment and once a year thereafter. The clinical outcomes in both perioperative and follow-up periods were recorded, and the results were evaluated. Results The technical success rate was 100%. The average operation time was （91.56 ± 39.30） rain. The mean hospitalization time was （5.25±1.44） days. All patients were regularly followed up for 1-54 months, and the total survival rate was 100%. Follow-up CT angiography showed that no coil migration, stent displacement, enlargement of aneurysm size, rupture or recanalization of aneurysm, etc. were observed. Conclusion For the treatment of CAA, endovascular management carries higher technical success rate with low incidence of complication and mortality. Therefore, this therapy is safe and effective.