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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Role of sonography in the diagnosis and treatment of a large iatrogenic pseudoaneurysm of a hepatic artery.
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Role of sonography in the diagnosis and treatment of a large iatrogenic pseudoaneurysm of a hepatic artery.

机译：超声检查在肝动脉大型医源性假性动脉瘤的诊断和治疗中的作用。

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摘要

We report the sonographic (US) findings in a case of successful combined endovascular and percutaneous treatment of a large hepatic artery pseudoaneurysm, responsible of massive hemobilia, in a patient with coexisting portal vein thrombosis. Previous percutaneous transhepatic biliary drainage placement caused the pseudoaneurysm. US identified the pseudoaneurysm and showed the biliary drain crossing the pseudoaneurysm lumen. After partial endovascular coils embolization of the pseudoaneurysm lumen, the biliary catheter was removed and the entry site of the catheter in the aneurysmal sac was occluded with an Amplatzer vascular plug released under US guidance. The residual lumen was then completely embolized with coils and Lipiodol.
机译：我们报告了在合并门静脉血栓形成的患者中成功进行血管内和经皮联合治疗大型肝动脉假性动脉瘤的病例的超声检查结果（超声），该假性动脉瘤导致大规模肝胆病。先前经皮经肝胆道引流的放置引起假性动脉瘤。 US鉴别出假性动脉瘤并显示胆道引流穿过假性动脉瘤腔。在假性动脉瘤腔的部分血管内线圈栓塞后，拔出胆管，并在美国指导下用Amplatzer血管栓塞堵住动脉瘤囊中的导管进入部位。然后将剩余的管腔用线圈和脂质碘完全栓塞。

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