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題名 | Emergent Embolization of a Ruptured Internal Iliac Artery Aneurysm with an Amplatzer Vascular Plug=緊急使用Amplatzer Vascular Plug栓塞破裂的肉長骨動脈瘤 |
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作者姓名(中文) | 陳哲伸; 黃日新; 邱冠明; 朱樹勳; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 11:2 2010.08[民99.08] |
頁次 | 頁140-145 |
分類號 | 415.2322 |
關鍵詞 | 內腸骨動脈瘤; 破裂; Amplatzer Vascular Plug; Internal iliac artery aneurysm; Rupture; |
語文 | 英文(English) |
中文摘要 | 內腸骨動脈因位於骨盆腔深處,其動脈瘤的治療本就相對不易;動脈瘤破裂時,從腹腔血腫會讓手術治療更為困難。我們報告一位70歲男性,因右側內腸骨動脈瘤破裂而休克。他曾接受直腸癌手術,又處於急性破裂的休克狀態,因此不選擇傳統手術治療。我們先用氣球阻斷主動脈血流,減緩出血、減輕休克,再使用Amplatzer Vascular Plug栓塞右側腸骨動脈,最後成功止血。患者最終因腹部腔室症候群及敗血症而死亡。 |
英文摘要 | We shared our experience of endovascular treatment for a ruptured internal iliac artery aneurysm. A 70-year-old man was brought to the emergency department with the presentation of abdominal pain and profound shock. Computed tomography disclosed a ruptured internal iliac artery aneurysm. He was quickly stabilized by the blood flow occlusion in the abdominal aorta with two parallel balloons. Internal iliac artery embolization was performed with an Amplatzer Vascular Plug. Because of bleeding tendency, the adequately positioned vascular plug could not induce complete thrombosis. Temporary balloon occlusion of the iliac artery induced stasis of blood and facilitated the thrombosis process. Complete thrombosis was finally attained. This was the first report of using an Amplatzer Vascular Plug for emergent internal iliac artery embolization. |
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