Endovascular embolization of post-tonsillectomy pseudoaneurysm in adults.

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Xiaodong Yang, Jiani Zhao, Rongrong Quan, Qiang Liu
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引用次数: 0

Abstract

Objective: This study aims to evaluate the efficacy and safety of endovascular embolization in the treatment of post-tonsillectomy pseudoaneurysms.

Methods: We conducted a retrospective analysis of four consecutive adults who experienced secondary post-tonsillectomy hemorrhage (PTH) due to pseudoaneurysms. Hemoglobin loss was identified to access the blood loss of patients. All patients underwent endovascular embolization of the injured artery using superselective catheterization techniques.

Results: The angiogram revealed pseudoaneurysms in the ascending palatine artery in two patients, the facial artery in one patient, and the lingual artery in the other patient. Two patients were treated with endovascular embolization using n-butyl-2-cyanoacrylate (NBCA) glue, one patient was treated with coils, and one received a combination of coils and NBCA glue for embolization. All procedures were successful, with no clinical complications or rehemorrhage reported.

Conclusion: Endovascular embolization is an effective, feasible, and safe treatment option for the patients with post-tonsillectomy pseudoaneurysm. NBCA glue can be an effective and appropriate embolic material, but attention must be paid to the critical techniques involved.

成人扁桃体切除术后假性动脉瘤的血管内栓塞治疗。
目的:评价血管内栓塞治疗扁桃体切除术后假性动脉瘤的疗效和安全性。方法:我们对连续4例因假性动脉瘤而继发性扁桃体切除术后出血(PTH)的成年人进行回顾性分析。确定血红蛋白损失以获取患者的失血量。所有患者均采用超选择性导管技术对损伤动脉进行血管内栓塞。结果:血管造影显示假性动脉瘤2例位于腭升动脉,1例位于面动脉,1例位于舌动脉。2例患者采用正丁基-2-氰基丙烯酸酯(NBCA)胶进行血管内栓塞,1例患者采用线圈治疗,1例患者采用线圈和NBCA胶联合栓塞。所有手术均成功,无临床并发症或再出血报告。结论:血管内栓塞治疗扁桃体切除术后假性动脉瘤是一种有效、可行、安全的治疗方法。NBCA胶是一种有效的、合适的栓塞材料,但必须注意其中的关键技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CVIR Endovascular
CVIR Endovascular Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
2.30
自引率
0.00%
发文量
59
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