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Transcatheter Arterial Embolization of Pseudoaneurysm of the Internal Maxillary Artery after Mandibular Osteotomy

內颧骨動脈之假性動脈瘤成功的用液態黏著劑栓塞治療

摘要


我們報告一位下額骨骨裂術後合併發生三星期之口內出血併發症之病例,血管攝影可見內颧骨動脈之假性動脈瘤。我們成功的使用選擇性經動脈液態黏著劑栓塞動脈瘤出血處。經回顧醫學文獻,並無類似病患被報告過。雖然內颧骨動脈之假性動脈瘤是一罕見的下額骨骨裂術之併發症,但它可成功的被經動脈液態黏著劑栓塞所治療。(慈濟醫學 2003; 15:191-194)

並列摘要


A patient presented with transaoral hemorrhage for 3 weeks after mandibular osteotomy. Angiographic evaluation showed a pseudoaneurysm of the internal maxillary artery (IMA). Superselective transcatheter arterial embolization of the neck of the pseudoaneurysm was performed by liquid adhesive suspension, and bleeding was arrested with the preservation of the parent artery. Vascular injury at the mandibular osteotomy site is rare but can occur. Transcatheter arterial embolization by liquid adhesive suspension was a prompt and effective solution. (Tzu Chi Med J 2003; 15:191-194)

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