内脏动脉瘤(VAAS)的发生率为0.1%~0.2%[1],其中以脾动脉瘤最为常见(46%~60%),其次是肝动脉瘤(2 0%)及肠系膜下动脉瘤(5%-6%)[16],75%的VAAS无症状脾动脉瘤临床表现主要为左上腹疼痛,可放射至左肩,伴有恶心、呕吐脾动脉瘤瘤体破裂发生率为3%~8%,可导致失血性休克,死亡率极高,治疗方法包括剖腹手术、腹腔镜手术、血管腔内治疗,其中血管腔内治疗 The incidence of visceral aneurysms (VAAS) is 0.1% to 0.2% [1], of which splenic aneurysms are the most common (46% -60%), followed by hepatic aneurysms (20%) and inferior mesenteric aneurysms 5% -6%) [16], 75% of VAAS asymptomatic splenic aneurysm clinical manifestations of the main left upper quadrant pain, can be discharged to the left shoulder, accompanied by nausea, vomiting splenic aneurysm tumor rupture rate of 3% to 8 %, Can lead to hemorrhagic shock, the mortality rate is extremely high, the treatment methods include laparotomy, laparoscopic surgery, endovascular treatment, which endovascular treatment