巨大动脉瘤的介入治疗

目的探讨巨大动脉瘤介入治疗的方法及疗效。方法对7例巨大动脉瘤(包括肺动脉瘤2例，肾动脉瘤2例，肱动脉瘤1例，右髂总动脉瘤1例，右髂内动脉瘤1例；其中真性动脉瘤5例，假性动脉瘤2例；原因为先天性、外伤性以及动脉硬化所致)3例采用置入带膜血管内支架治疗，2例采用动脉瘤内填塞治疗，2例采用部分动脉瘤内填塞加供血动脉栓塞治疗。结果7例巨大动脉瘤顺利完成了介入治疗手术，技术成功率为100％。6例动脉瘤闭塞，症状体征消失；1例右髂内动脉瘤复发破裂死亡。未出现其他并发症。结论介入方法是治疗巨大动脉瘤的有效方法。

Interventional therapy of huge aneurysm

Objective To evaluate the methods and the efficacy of interventional therapy for huge aneurysm.Methods Seven patients with huge aneurysm including 2 with pulmonary aneurysm, 2 with renal aneurysm, 1 with humeral artery aneurysm, 1 with right common iliac artery aneurysm, 1 with right internal iliac artery aneurysm. Among these, 5 were true aneurysm, and 2 were pseudoaneurysms caused by congenital, trauma, arteriosclerosis. Three patients were treated with endovascular covered stent graft and 2 patients with embolization containing metallic coils. Two patients were treated with partial aneurysm and feeding artery trunk embolization with metallic coils. Results All 7 patients were successful carried out the interventional therapy with successful rate of 100%. Six aneurysms were completely obstructed with disappearance of symptoms and signs. One died of aneurysm rupture. No other complication occurred.Conclusion Interventional therapy for huge aneurysm is an effective method.