施海彬 顧建平 何旭 梁定 馮耀良 王杰 呂朋華 李麟蓀
【摘要】 目的 介紹不同類型外周血管假性動脈瘤的不同治療方法。方法 13 例假性動脈
瘤, 3 例終末型動脈的假性動脈瘤采用明膠海綿進行栓塞, 其中1 例巨大血腫伴假性動脈瘤經栓塞后
作手術血腫清除加動脈結扎術進行治療; 1 例支干型假性動脈瘤采用兩端彈簧圈栓塞; 9 例主干性外
周動脈假性動脈瘤采用覆膜支架隔絕術。結果 所有假瘤均完全閉合, 置入覆膜支架者其遠端動脈
搏動均正常。1 例患者由于其他特殊原因, 致穿刺部位又出現假性動脈瘤。其他患者無明顯并發癥。
結論 采用介入技術可使各種外周血管假性動脈瘤得到有效治療, 多數情況下可以代替外科治療。
【關鍵詞】 外周血管疾病; 動脈瘤, 假; 支架; 栓塞, 治療性; 放射學, 介入性
Percutaneous intra arter ial t her apy of peripher al pseudoaneur ysm SHI Hai-bin* , GU J ian-ping,
HE Xu, LIANG Ding, FENG Yao-liang, WANG Jie, LU Peng-hua , LI Lin-sun. * Department of Ra diology,
The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
【Abstra ct 】 Objective To introduce the therapeutic choices for different types of peripheral
pseudoaneurysms. Methods Peripheral pseudoaneurysm was interventionally treated in 13 patients.
Intraarterial embolization was performed with gelfoam in 2 patients with terminal type. Elimination of
hematoma and ligature of artery were surgically done following embolization in a patient with huge hematoma
and pseudoaneurysm. Proximal and distal to pseudoaneurysm in branch of deep femoral artery were
respectivelly embolized with metallic coils in a patient. Endovascular covered stent graft was inserted for
separation of pseudoaneurysm in 9 patients with trunk type. Result s Pseudoaneurysm kept closed after
treatment in all 13 patients. Distal arterial pulse was normal in 9 patients treated with stent graft. A new
pseudoaneurysm presented as a complication at puncture site in 1 patient due to other factors. There were no
other symptomatic complications. Conclusion Peripheral pseudoaneurysms can be effectively treated with
interventional techniques instead of surgical operation.
【Key wor ds 】 Peripheral vascular diseases ; Aneurysm, false; Stent; Embolization,
therapeutic; Radiology, interventional

外周血管假性動脈瘤的介入治療.rar