血管塞治疗腹主动脉瘤主动脉腔内修复术后高流量Ⅰ型内漏4例

Vascular plug embolization for the treatment of high-flow typeⅠendoleak after endovascular repair of abdominal aortic aneurysm:preliminary results in 4 patients

目的探讨血管塞治疗腹主动脉瘤主动脉腔内修复术后高流量Ⅰ型内漏的可行性和安全性。方法回顾性分析2019年5月至9月收治的腹主动脉瘤主动脉腔内修复术患者临床资料,其中3例腹主动脉瘤术后即刻造影发现Ⅰa型内漏,1例腹主动脉瘤术后3个月复查CT发现Ⅰb型内漏。4例腹主动脉瘤主动脉腔内修复术后高流量Ⅰ型内漏患者均接受血管塞栓塞治疗。结果4例患者分别植入血管塞1个,血管塞栓塞封堵内漏均获成功,内漏完全栓塞。术后1例腹痛症状明显好转,无穿刺口出血等严重并发症发生。结论血管塞栓塞治疗腹主动脉瘤主动脉腔内修复术后高流量Ⅰ型内漏操作简单安全,栓塞成功率高,疗效确切。

Objective To investigate the feasibility and safety of vascular plug embolization in treating high-flow typeⅠendoleak after endovascular repair of abdominal aortic aneurysm.Methods The clinical data of admitted patients with abdominal aortic aneurysm,who received aortic endovascular repair between May 2019 and September 2019,were retrospectively analyzed.Immediate postoperative angiography demonstrated that 3 patients developed typeⅠa endoleak,and CT re-examination performed 3 months after operation revealed that one patient developedⅠb endoleak.Vascular plug treatment was carried out in all the4 patients with high-flow typeⅠendoleak after endovascular repair of abdominal aortic aneurysm.Results Each patient was implanted one vascular plug,successful complete occlusion of endoleak with vascular plug was accomplished in all 4 patients.After treatment the abdominal pain was obviously relieved in one patient.No severe complications such as bleeding at puncture site occurred.Conclusion For the treatment of highflow typeⅠendoleak after endovascular repair of abdominal aortic aneurysm,embolization with vascular plug is technically simple and clinically safe with high success rate and reliable curative effect.