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目的探讨创伤性假性动脉瘤的腔内微创治疗临床疗效。方法对56例创伤性假性动脉瘤病变应用腔内微创技术,通过覆膜支架置入和弹簧圈栓塞治疗。其中12例终末支动脉创伤性假性动脉瘤给予弹簧圈栓塞,44例非终末支动脉创伤性假性动脉瘤实施覆膜支架置入,观察临床疗效。结果 12例弹簧圈栓塞患者栓塞成功;44例覆膜支架置入成功41例,3例转为弹簧圈栓塞成功。结论腔内微创治疗创伤性假性动脉瘤基本上可替代外科手术,成为临床治疗首选。对终末支动脉可选择栓塞治疗,而主干型、支干型动脉需尽量选择覆膜支架治疗,个别支干型动脉覆膜支架治疗失败后,可选择栓塞治疗。
Objective To investigate the clinical effect of minimally invasive endovascular treatment of traumatic pseudoaneurysm. Methods 56 cases of traumatic pseudoaneurysm lesions using minimally invasive endovascular techniques, stent implantation and coil embolization. Among them, 12 cases of terminal branch artery traumatic pseudoaneurysm were treated with coil embolization, and 44 cases of non-terminal branch artery traumatic pseudoaneurysm were treated with stent implantation. The clinical curative effect was observed. Results In the 12 patients with coil embolization, the embolization was successful; in 44 patients with stent placement, 41 patients were successfully embolized, and 3 patients were successfully embolized with coil. Conclusion Endovascular treatment of traumatic pseudoaneurysm can basically replace surgeries and become the first choice for clinical treatment. Embolization of the terminal artery can be selected, while the trunk and branch artery should be treated with stent as much as possible. After the treatment of individual stent-graft fails, embolization can be selected.