内脏动脉瘤的血管腔内介入治疗

Endovascular Interventional Treatment of Visceral Artery Aneurysms

目的探讨内脏动脉瘤(VAA)腔内治疗的应用价值。方法搜集56例VAA患者临床资料,分析总结其腔内治疗的策略及疗效。结果 56例患者中VAA共计62个。行腔内治疗46个,其中29个行载瘤动脉近远端栓塞术,3个行瘤腔栓塞术,3个行瘤腔并载瘤动脉栓塞术,4个行覆膜支架置入术,1个行裸支架辅助弹簧圈瘤腔内栓塞术,2个行分支动脉栓塞术,腔内治疗失败4个,技术成功率为91.3%;行外科手术治疗2个;行保守治疗12个;拒绝治疗2个。随访3~48个月,成功行腔内治疗、开放手术及保守治疗的VAA均未见显影或进展。结论血管腔内介入治疗VAA的最大优点是微创,能最大限度地保留组织器官,是一种安全有效的治疗方法。

Objective To explore the value of endovascular treatment of visceral aneurysm(VAA). Methods The clinical data of VAA patients were analyzed retrospectively, and the strategy and effect of endovascular therapy were summarized. Results A total of 56 cases and 62 VAA cases were collected.46 cases were treated by endovascular therapy, 29 cases were treated by embolization of proximal and distal parent artery, 3 cases were treated by embolization of aneurysm cavity, 3 cases were treated by embolization of aneurysm cavity and parent artery, 4 cases were treated by stent graft, 1 case was treated by embolization of aneurysm cavity with coil assisted by bare stent, 2 cases were treated by embolization of branch artery, 4 cases were failed. Thetechnical success rate was 91.3%,2 cases were treated by surgical operation, 12 cases were treated by conservative treatment and 2 cases were rejected. During the follow-up period of 3-48 months, VAA with successful endovascular treatment, open surgery and conservative treatment did not develop or progress. Conclusion Endovascular therapy of VAA has the foremost advantage because it is a minimally invasive procedure, which can maximize the preservation of tissues and organs, and is a safe and effective treatment method.