首页|NBCA医用胶联合弹簧圈三明治法栓塞脾动脉瘤17例疗效分析

NBCA医用胶联合弹簧圈三明治法栓塞脾动脉瘤17例疗效分析

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目的:探讨氰基丙烯酸异丁酯(NBCA)医用胶联合弹簧圈三明治法栓塞脾动脉瘤的疗效及安全性.方法:选择2018 年3 月至2023 年7 月采用经导管注入NBCA医用胶和弹簧圈三明治法栓塞脾动脉瘤的患者 17 例,回顾性分析临床资料和影像资料,评价栓塞成功率、临床疗效及手术相关并发症.结果:17 例患者中男 9 例,女 8例,年龄33~77 岁;真性动脉瘤20 例,假性动脉瘤 2 例;多发 3 例,单发 14 例;瘤体位于脾动脉近段 3 例,中段 10例,远段9 例.所有患者均成功栓塞,未发生严重手术并发症;术后随访3~36 个月,腹部增强CT示脾动脉瘤铸型良好,未见复发、增大或破裂出血.结论:经导管NBCA医用胶联合弹簧圈三明治法栓塞脾动脉瘤成功率高,安全有效.
Efficacy analysis of 17 cases of splenic artery aneurysms embolization by sandwich technique using coils combined with NBCA tissue glue
Aim:To investigate the clinical efficacy and safety of transcatheter embolization with n-butyl-2-cyanoacry-late(NBCA)tissue glue and coils in the way of sandwich pattern for the treatment of splenic artery aneurysms.Methods:From March 2018 to July 2023,17 patients with splenic artery aneurysms who accepted transcatheter embolization of NBCA tissue glue and coils in the way of sandwich pattern were selected.Clinical features and imaging data were retrospectively analyzed,and the technical success rate,clinical efficacy and surgical complications were evaluated.Results:Among 17 pa-tients,9 males and 8 females,aged from 33 to 77 years.There were 20 true and 2 false aneurysms,3 cases were multiple and 14 cases were single;3 were located in the proximal,10 in the middle and 9 in the distal segment of the splenic artery.All patients were successfully embolized without serious surgical complications.The patients were followed up for 3 to 36 months.Abdominal enhanced CT showed that the cast of splenic artery aneurysms were stable,the embolization was com-plete and no signs of recurrence,enlargement or rupture.Conclusion:Transcatheter embolization with NBCA tissue glue and coils in the way of sandwich pattern is a safe and effective technique for the treatment of splenic artery aneurysms.

splenic artery aneurysmembolizationcoilNBCA tissue gluesandwich pattern

焦周阳、马志岭、连冲、张林枫、孙全敬、曹辉、徐鹏、化召辉、李震

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郑州大学第一附属医院腔内血管外科 郑州 450052

脾动脉瘤 栓塞 弹簧圈 NBCA医用胶 三明治法

国家自然科学基金面上项目

82370503

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(5)