留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

肠系膜上动脉瘤的治疗策略

孙晓宁 郑月宏

孙晓宁, 郑月宏. 肠系膜上动脉瘤的治疗策略[J]. 协和医学杂志, 2020, 11(5): 537-541. doi: 10.3969/j.issn.1674-9081.2020.05.008
引用本文: 孙晓宁, 郑月宏. 肠系膜上动脉瘤的治疗策略[J]. 协和医学杂志, 2020, 11(5): 537-541. doi: 10.3969/j.issn.1674-9081.2020.05.008
Xiao-ning SUN, Yue-hong ZHENG. Strategies for Managing Superior Mesenteric Artery Aneurysms[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 537-541. doi: 10.3969/j.issn.1674-9081.2020.05.008
Citation: Xiao-ning SUN, Yue-hong ZHENG. Strategies for Managing Superior Mesenteric Artery Aneurysms[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 537-541. doi: 10.3969/j.issn.1674-9081.2020.05.008

肠系膜上动脉瘤的治疗策略

doi: 10.3969/j.issn.1674-9081.2020.05.008
基金项目: 

国家自然科学基金 81470586

详细信息
    通讯作者:

    郑月宏  电话:010-69152500,E-mail:yuehongzheng@yahoo.com

  • 中图分类号: R654.3; R657.2

Strategies for Managing Superior Mesenteric Artery Aneurysms

More Information
  • 摘要: 肠系膜上动脉瘤(superior mesenteric artery aneurysm, SMAA)是一类罕见的血管疾病,其发生破裂、导致患者死亡的风险较高。SMAA的治疗手段包括手术治疗和保守观察。传统开放手术术式包括动脉瘤结扎、动脉瘤切除联合肠系膜上动脉重建/肠段部分切除。血管腔内治疗创伤较小,适用于合并症复杂的病例或分支动脉瘤。动脉瘤栓塞和腔内覆膜支架置入是常见的介入治疗方法。目前对于SMAA的报道和治疗经验相对缺乏,临床需在明确诊断的基础上,全面考虑SMAA的诱因、病理生理变化等因素,制定安全有效的治疗方案。本文梳理SMAA治疗策略,旨在为临床提供参考。
    利益冲突:无
    作者贡献:孙晓宁负责文献调研与梳理,撰写本文;郑月宏为本文确立思路框架,参与文献调研、审阅、定稿。
  • [1] Pulli R, Dorigo W, Troisi N, et al. Surgical treatment of visceral artery aneurysms: A 25-year experience[J]. J Vasc Surg, 2008, 48: 334-342. doi:  10.1016/j.jvs.2008.03.043
    [2] Sharma G, Semel ME, Mcgillicuddy EA, et al. Ruptured and unruptured mycotic superior mesenteric artery aneurysms[J]. Ann Vasc Surg, 2014, 28: 1931 e1935-1938. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=1c7df76330ba9168646c1ce27120634b
    [3] Stone WM, Abbas M, Cherry KJ, et al. Superior mesenteric artery aneurysms: is presence an indication for intervention?[J]. J Vasc Surg, 2002, 36: 234-237; discussion 237. doi:  10.1067/mva.2002.125027
    [4] Armstrong PJ, Franklin DP. Superior mesenteric artery branch aneurysm with absence of the celiac trunk[J]. Vascular, 2006, 14: 109-112. doi:  10.2310/6670.2006.00015
    [5] Guntani A, Yamaoka T, Kyuragi R, et al. Successful treatment of a visceral artery aneurysm with a celiacomesenteric trunk: report of a case[J]. Surg today, 2011, 41: 115-119. doi:  10.1007/s00595-010-4268-2
    [6] Zhang S, Fu QN, Song XJ, et al. Endovascular treatment of coexistent superior mesenteric artery aneurysm and celiac artery aneurysm[J]. J Vasc Surg Cases Innov Techn, 2016, 2: 172-173. http://www.sciencedirect.com/science/article/pii/S2468428716300223
    [7] Venturini M, Marra P, Colombo M, et al. Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms in 100 Patients: Covered Stenting vs Transcatheter Embolization[J]. J Endovasc Ther, 2017, 24: 709-717. doi:  10.1177/1526602817717715
    [8] Zilun L, Henghui Y, Yang Z, et al. The Management of Superior Mesenteric Artery Aneurysm: Experience with 16 Cases in a Single Center[J]. Ann Vasc Surg, 2017, 42: 120-127. doi:  10.1016/j.avsg.2016.11.014
    [9] Jiang J, Ding X, Su Q, et al. Therapeutic management of superior mesenteric artery aneurysms[J]. J Vasc Surg, 2011, 53: 1619-1624. doi:  10.1016/j.jvs.2011.02.004
    [10] Kordzadeh A, Watson J, Panayiotopolous YP. Mycotic aneurysm of the superior and inferior mesenteric artery[J]. J Vasc Surg, 2016, 63: 1638-1646. doi:  10.1016/j.jvs.2016.01.031
    [11] Buchs NC, Skala K, Sierra J, et al. Mycotic aneurysm of the superior mesenteric artery[J]. Surgery, 2013, 153: 133-134. doi:  10.1016/j.surg.2011.07.036
    [12] 李晓光, 张晓波, 石海峰, 等.胰腺炎并发假性动脉瘤大出血的影像诊断及其经导管动脉栓塞治疗[J].协和医学杂志, 2010, 1:77-81. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xhyx201001020

    Li XG, Zhang XB, Shi HF, et al. Imaging Diagnosis and Transcatheter Arterial Embolization for Massive Hemorrhage Due to Pseudoaneurysms Complicating Pancreatitis[J]. Med J PUMCH, 2010, 1:77-81. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xhyx201001020
    [13] Corey MR, Ergul EA, Cambria RP, et al. The natural history of splanchnic artery aneurysms and outcomes after operative intervention[J]. J Vasc Surg, 2016, 63: 949-957. doi:  10.1016/j.jvs.2015.10.066
    [14] Chaer RA, Abularrage CJ, Coleman DM, et al. The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms[J]. J Vasc Surg, 2020, 72: 3S-S39. doi:  10.1016/j.jvs.2020.01.039
    [15] Tetreau R, Beji H, Henry L, et al. Arterial splanchnic aneurysms: Presentation, treatment and outcome in 112 patients[J]. Diagn Interv Imaging, 2016, 97: 81-90. doi:  10.1016/j.diii.2015.06.014
    [16] Bjorck M, Koelemay M, Acosta S, et al. Editor's Choice-Management of the Diseases of Mesenteric Arteries and Veins: Clinical Practice Guidelines of the European Society of Vascular Surgery (ESVS)[J]. Eur J Vasc Endovasc Surg, 2017, 53: 460-510. doi:  10.1016/j.ejvs.2017.01.010
    [17] Ghariani MZ, Georg Y, Ramirez C, et al. Long-term results of surgical treatment of aneurysms of digestive arteries[J]. Ann Vasc Surg, 2013, 27: 954-958. doi:  10.1016/j.avsg.2013.02.007
    [18] Martinelli O, Giglio A, Irace L, et al. Single-Center Experience in the Treatment of Visceral Artery Aneurysms[J]. Ann Vasc Surg, 2019, 60: 447-454. doi:  10.1016/j.avsg.2019.01.010
    [19] Barrionuevo P, Malas MB, Nejim B, et al. A systematic review and meta-analysis of the management of visceral artery aneurysms[J]. J Vasc Surg, 2020, 72: 40S-S45. doi:  10.1016/j.jvs.2020.05.018
    [20] Sachdev U, Baril DT, Ellozy SH, et al. Management of aneurysms involving branches of the celiac and superior mesenteric arteries: a comparison of surgical and endovascular therapy[J]. J Vasc Surg, 2006, 44: 718-724. doi:  10.1016/j.jvs.2006.06.027
    [21] Kim SK, Lee J, Duncan JR, et al. Endovascular treatment of superior mesenteric artery pseudoaneurysms using covered stents in six patients[J]. AJR Am J Roentgenol, 2014, 203: 432-438. doi:  10.2214/AJR.13.11644
    [22] Benjelloun A, Henry M, Taberkant M, et al. Multilayer Flow Modulator Treatment of Abdominal and Thoracoabdominal Aortic Aneurysms With Side Branch Coverage: Outcomes From a Prospective Single-Center Moroccan Registry[J]. J Endovasc Ther, 2016, 23: 773-782. doi:  10.1177/1526602816657087
    [23] Ruffino MA, Rabbia C, Italian Cardiatis Registry Investi-gators G. Endovascular repair of peripheral and visceral aneurysms with the Cardiatis multilayer flow modulator: one-year results from the Italian Multicenter Registry[J]. J Endovasc Ther, 2012, 19:599-610. doi:  10.1583/JEVT-12-3930MR2.1
    [24] Ruddy JM, Dodson TF, Duwayri Y. Open repair of superior mesenteric artery mycotic aneurysm in an adolescent girl[J]. Ann Vasc Surg, 2014, 28:1032 e1021-e1034. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=39d6e4785ca23bde635398c7bfa97feb
    [25] Higashiura W, Takara H, Kitamura R, et al. Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis[J]. J Endovasc Ther, 2019, 26:879-884. doi:  10.1177/1526602819865985
    [26] Peinado Cebrian FJ, Estebanez Seco S, Flores-Herrero A, et al. Giant Symptomatic Aneurysm Secondary to Hereditary Hemorrhagic Telangiectasia of a Main Hepatic Artery with Aberrant Origin in Superior Mesenteric Artery[J]. Ann Vasc Surg, 2017, 44: 417 e415-e417, e419. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=16eef1a075617f33d4984d2d5e6a664a
    [27] Inoue A, Ohta S, Imai Y, et al. Naturally shrunk visceral artery aneurysms by stenting for the superior mesenteric artery occlusion[J]. Minim Invasive Ther Allied Technol, 2020:1-5. doi: 10.1080/13645706.2020.1732426.
  • 加载中
计量
  • 文章访问数:  114
  • HTML全文浏览量:  38
  • PDF下载量:  29
  • 被引次数: 0
出版历程
  • 收稿日期:  2018-03-01
  • 刊出日期:  2020-09-30

目录

    /

    返回文章
    返回

    【温馨提醒】近日,《协和医学杂志》编辑部接到作者反映,有多名不法人员冒充期刊编辑发送见刊通知,鼓动作者添加微信,从而骗取版面费的行为。特提醒您,本刊与作者联系的方式均为邮件通知或电话,稿件进度通知邮箱为:mjpumch@126.com,编辑部电话为:010-69154261,请提高警惕,谨防上当受骗!如有任何疑问,请致电编辑部核实。谢谢!