经导管弹簧圈栓塞治疗脾动脉瘤

目的探讨经导管弹簧圈栓塞治疗脾动脉瘤的临床应用价值。方法回顾性分析接受经导管弹簧圈栓塞治疗的18例脾动脉瘤患者的资料,其中真性脾动脉瘤14例,假性脾动脉瘤4例;近端型6例,中间型4例,脾门型8例。根据患者脾动脉造影情况,选择普通弹簧圈、微弹簧圈或机械可脱式弹簧圈进行栓塞。术后1周及1、3、9个月行CT增强或CTA复查,随后每月行电话随访。结果对18例均顺利完成手术,11例采用隔绝旷置术,4例采用瘤腔填塞术,3例采用隔绝旷置术+瘤腔填塞术。术后12例出现栓塞后综合征,其中8例出现不同程度的脾梗死,梗死体积约10%~35%;余4例为轻微并发症。随访中无瘤体增大、破裂或复发及相关并发症。结论经导管弹簧圈栓塞治疗脾动脉瘤简单可行、安全有效。

Transcatheter coil embolization of splenic artery aneurysms

Objective To explore the clinical application value of transcatheter coil embolization of splenic artery aneurysms. Methods The data of 18 splenic artery aneurysms patients were retrospectively analyzed. There were 14 true aneurysms and 4 pseudo aneurysms. There were 6 proximal type, 4 middle type and 8 hilar type. After angiography of splenic artery, embolization was performed using general coils, microcoils or mechanically detachable coils. All patients were followed up with enhanced CT or CTA 1 week, 1, 3, 9 months after the operation, then telephone follow-up was performed monthly. Results The embolization procedure was performed successfully in all the 18 patients. Totally 11 cases underwent isolation technique, 4 cases underwent packing technique, 3 cases underwent isolation technique and packing technique. Twelve patients had postembolization syndrome after the operation, among them, 8 patients had different level of splenic infarction(infarcted volume about 10%-35%); 4 patients had minor complications. There were no aneurysm enlargement, rupture or recurrence and related complications during the follow-up period. Conclusion Transcatheter coil embolization of splenic artery aneurysms is simple, feasible, safe and effective.