医用胶在外周动脉假性动脉瘤栓塞中的应用

目的 探讨医用胶在外周动脉假性动脉瘤(PSA)栓塞治疗中的安全性、有效性.方法 回顾性分析明确为外周动脉PSA并运用福爱乐医用胶栓塞患者25例.25例患者中有28枚PSA.19例患者(共22枚PSA)经3F微导管超选择插管至PSA载瘤动脉,6例患者(共6枚PSA)直接穿刺PSA,均在减影下向PSA内注入福爱乐医用胶+碘化油混合液(比例为1：1)栓塞PSA.观察PSA栓塞效果及有无并发症.结果 28枚PSA均栓塞成功,福爱乐医用胶平均用量1.8 mL(0.5~5.5 mL).1例>2 cm PSA术后2 d持续存在血尿,再次造影后于载瘤动脉补充微弹簧圈1枚,出血停止.1例肱动脉PSA患者行第2次栓塞后出血停止.术中及术后未出现治疗相关并发症,随访3个月均未再次出现出血情况.结论 福爱乐医用胶与碘油混合液栓塞外周动脉PSA成功率高,栓塞迅速,疗效确切.

Embolization for peripheral artery pseudoaneurysms with medical adhesive

Objective To assess the validity and safety of arterial embolization with medical adhesive in treating peripheral artery pseudoaneurysms(PSA).Methods 25 cases of peripheral artery PSA embolized with Fuaile medical adhesive(FMA) were analyzed retrospectively.25 patients included 28 PSA.Super-selective transcatheter arterial embolization was performed in 19 patients (22 PSA) using 3F microcatheter and 6 PSA in 6 patients were embolized through puncturing directly.All the lesions were treated with mixtures of FMA and iodized oil (1：1) during the radiography.The clinical efficacy and complications were recorded.Results The success rate of embolization was 100% during the operation (28/28), and the average volume of FMA used was 1.8 mL(0.5-5.5 mL).One patient with PSA(d>2 cm) still have hematuria 2 days after the operation.The hematuria disappeared after embolization with micro-coil following re-angiography.Bleed stopped after the second embolization with FMA in one patient with brachial artery PSA.No one developed complications associated with therapy and occurred rebleeding in the follow-up period time (3 months).Conclusion The mixtures of FMA and iodized oil can be a useful alternative embolic agent for the treatment of peripheral artery pseudoaneurysm with high success rate, short operation time and definite clinical effect.