血管腔内治疗创伤性下肢假性动脉瘤(附5例分析)

Percutaneous endovascular intervention for treating traumatic lower limb pseudoaneurysm( report of 5 cases)

目的探讨血管内治疗创伤性下肢假性动脉瘤的方法及疗效。方法本组5例左下肢假性动脉瘤患者,左侧股深动脉分支动脉瘤2例,股浅动脉主干1例,臀上动脉分支1例,腓动脉分支1例,均行相关动脉造影,明确假性动脉瘤部位、范围、程度及血供情况,然后行血管腔内治疗。治疗方法根据病变部位、大小及造影表现进行选择。结果 5例患者均通过动脉造影明确诊断,DSA造影假性动脉瘤呈现不规则形囊状突起。血管腔内治疗后再次造影见动脉瘤及其供血动脉消失,5例介入治疗均获成功。随防2~15个月,均未复发,且无并发症发生。结论血管腔内治疗下肢创伤性假性动脉瘤,安全有效、创伤小、并发症少,是有效的治疗方法。

Objective To discuss the technical points and clinical efficacy of intravascular treatment of traumatic lower limb pseudoaneurysm. Methods 5 patients with left lower limb pseudoaneurysm,including 2 cases of the branch of the pseudoaneurysm of femoral profound artery,1 of superficial femoral artery pseudoaneurysm,1 of the branch of superior gluteal artery,and 1 of the branch of peroneal artery,were all diagnosed by selective angiography. The localization,characteristic,extent,degree and blood supply were defined,and treated by intravascular intervention with various embolic materials or vascular stent implantation through Seldinger method. Results All patients were correctly diagnosed through selective angiography. On DSA,the pseudoaneurysm was manifested as a irregular sack-like bulge,which,together with its feeding vessels,disappeared after intravascular intervention therapy. Technical success was obtained in all 5 patients. During 2 ~ 15 month follow-up,the satisfactory treatment effect was observed. Conclusion Intravascular treatment for traumatic lower limb pseudoaneurysm is both safe and effective.