CAJ | 학술논문

目的：探讨内脏动脉瘤（VAAS ）的介入治疗方法，总结分析经导管栓塞VAAS 的疗效。方法回顾分析10例采用弹簧圈、微弹簧圈及明胶海绵等栓塞材料介入栓塞治疗VAAS 的临床资料。1例脾、胰横动脉多发动脉瘤栓塞流入、流出动脉及“三明治”栓塞法；1例脾中段巨大动脉瘤栓塞流入、流出动脉＋填塞瘤腔；1例肝右动脉医源性假性动脉瘤及1例左支气管动脉瘤栓塞流入动脉＋填塞瘤腔。1例带颈肝动脉瘤单纯填塞瘤腔。5例医源性肾假性动脉瘤单纯栓塞流入动脉。结果9例VAAS 均一次栓塞成功，但1例肝右动脉假性动脉瘤破裂出血，再次栓塞成功止血。所有病例术后随访2～30个月，无严重并发症出现，动脉瘤未复发。结论经导管置入弹簧圈栓塞VAAS 安全有效。
목적：탐토내장동맥류（VAAS ）적개입치료방법，총결분석경도관전새VAAS 적료효。방법회고분석10례채용탄황권、미탄황권급명효해면등전새재료개입전새치료VAAS 적림상자료。1례비、이횡동맥다발동맥류전새류입、류출동맥급“삼명치”전새법；1례비중단거대동맥류전새류입、류출동맥＋전새류강；1례간우동맥의원성가성동맥류급1례좌지기관동맥류전새류입동맥＋전새류강。1례대경간동맥류단순전새류강。5례의원성신가성동맥류단순전새류입동맥。결과9례VAAS 균일차전새성공，단1례간우동맥가성동맥류파렬출혈，재차전새성공지혈。소유병례술후수방2～30개월，무엄중병발증출현，동맥류미복발。결론경도관치입탄황권전새VAAS 안전유효。
Objective To evaluate the interventional treatment for visceral artery aneurysms (VAAs)with catheter based tech-niques.Methods The clinical data of 10 patients with VAAs from Feb.2004 to Oct.2013 were retrospectively analyzed.The materials of em-bolization were spring coil,GDC,gelatin sponge.Interventional embolization was performed in 1 patient with multiple aneurysms of splenic ar-tery and transverse pancreatic artery in the way of"sandwich pattern".Embolization of both efferent and afferent arteries of the aneurysm asso-ciating with coil embolization was performed in 1 patient with large aneurysm at the middle segment of splenic artery.Embolization of efferent artery of the aneurysm associating with coil embolization was performed in 1 iatrogenic pseudoaneurysm of right hepatic artery and one aneu-rysm in left bronchial artery.Mere coil embolization was performed in 1 hepatic aneurysm with narrow neck.Embolization of efferent artery of the aneurysm was performed in 5 iatrogenic pseudoaneurysms of renal artery.Results Technical success was achieved in 9 cases,but 1 iatro-genic pseudoaneurysm of right hepatic artery was embolized two times because of rupture.During 2 ~30 months'follow-up,no significant complications were recorded,and no aneurysms recurred.Conclusion Transcatheter endovascular interventional techniques are safe and ef-fective treatment for visceral artery aneurysms.