经导管动脉栓塞治疗8例脾动脉瘤

目的 探讨经导管动脉栓塞治疗脾动脉瘤的可行性和疗效.方法 对8例脾动脉瘤患者,经导管通过脾动脉使用弹簧圈栓塞瘤体远近端动脉而将瘤体隔绝,术后采用CT或血管彩色多普勒超声随访3～36个月.结果 8例脾动脉瘤均成功栓塞,无严重并发症.1例术后10个月因腹腔大出血死亡,其余7例随访3～36个月情况良好,未见血管再通.结论 经导管动脉栓塞治疗脾动脉瘤安全可行,术后定期影像随访非常重要.

Transcatheter arterial embolization for the treatment of splenic artery aneurysms: clinical results in eight cases

Objective To assess the feasibility and effectiveness of transcatheter arterial embolization for the treatment of splenic artery aneurysms (SAAs). Methods Transcatheter splenic arterial embolization with coils was performed in eight cases of SAAs. The patients were followed for 3-36 months. The follow-up examinations with CT or color Doppler ultrasonic angiography were made. Results Technical success was achieved in all eight cases with no severe complications. During the follow-up period, one patient died of severe abdominal bleeding 10 months after the operation and the other seven patients remained in good condition with no occurrence of re-canalization of the lesions. Conclusion Transeatheter arterial embolization is a safe and effective treatment for splenic artery aneurysms. It is necessary to make a regular follow-up imaging study.