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題名 | Pseudoaneurysm of the Deep Circumflex Iliac Artery: A Rare Complication at an Anterior Iliac Bone Graft Donor Site Treated by Coil Embolization=深旋腸骨動脈之假性動脈瘤--前腸骨移植之罕見併發症成功用金屬線圈栓塞治療 |
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作者 | 周紹賓; 洪建福; 曾振輝; 潘廣澤; 嚴寶勝; | 書刊名 | 長庚醫學 |
卷期 | 25:7 2002.07[民91.07] |
頁次 | 頁480-484 |
分類號 | 416.263 |
關鍵詞 | 深旋腸骨動脈; 假性動脈瘤; 前腸骨移植; 經動脈金屬線圈栓塞治療; Deep circumflex iliac artery; Pseudoaneurysm; Anterior iliac bone graft; Transarterial coil embolization; |
語文 | 英文(English) |
中文摘要 | 深旋腸骨動脈之假性動脈瘤是前腸骨移植之罕見併發症。一位76歲男性病患有頸脊髓神經病變,接受前頸減壓及融合術使用腸骨移植。術後一個月病患發現一疼痛之左鼠蹊腫塊。血管攝影發現左深旋腸骨動脈之假性動脈瘤,此出血處選擇性經動脈金屬線圈成功栓塞。經回顧醫學文獻,只有一位類似病患被報告過。雖然深旋腸骨動脈之假性動脈瘤是一罕見的前腸骨移值併發症,但它可成功的被特動脈金屬線圈栓所治療。 |
英文摘要 | Pseudoaneurysm formation of the deep circumflex iliac artery (DCIA) after harvesting an anterior iliac bone graft for spinal fusion is reported herein. A 76-year-old man with cervical myelopathy underwent anterior cervical decompression and fusion with a left anterior iliac bone graft. A painful left inguinal mass was noted 1 month later. He was admitted to our emergency ward. Angiography of the left external iliac artery was performed which shoed a pseudoaneurysm of the DCIA. Selective transarterial coil embolization of the artery was performed, and bleeding was arrested. In a review of the previous literature only 1 pseudoaneurysm of the DCIA was reported to be associated with anterior iliac bone graft. In conclusion, vascular injury after anterior iliac bone harvesting is rare but can occur. Selective transarterial coil mebolization is a prompt and effective solution. |
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