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桡动脉霉菌性假性动脉瘤:一种导管插入术的罕见并发症。

Radial artery mycotic pseudoaneurysm: an unusual complication of catheterization.

作者信息

Tsao J W, Neymark E, Gooding G A

机构信息

Department of Medicine, University of California-San Francisco, 505 Parnassus Avenue, San Francisco, California 94143, USA.

出版信息

J Clin Ultrasound. 2000 Oct;28(8):414-6. doi: 10.1002/1097-0096(200010)28:8<414::aid-jcu6>3.0.co;2-x.

Abstract

Radial artery pseudoaneurysms are rare, and those that become infected are rarer still. We present the case of a patient who developed a radial artery pseudoaneurysm as a late complication of arterial catheterization. Blood cultures were positive for Staphylococcus aureus, and a pulsatile mass, with associated tissue necrosis, was palpable over the radial artery. The diagnosis was confirmed by gray-scale and color Doppler sonography, which showed a partially thrombosed pseudoaneurysm and turbulent flow in the pseudoaneurysm and native artery.

摘要

桡动脉假性动脉瘤较为罕见,而发生感染的则更为罕见。我们报告一例患者,其桡动脉假性动脉瘤是动脉插管的晚期并发症。血培养显示金黄色葡萄球菌阳性,在桡动脉处可触及搏动性肿块,并伴有组织坏死。灰阶和彩色多普勒超声检查确诊了该诊断,显示为部分血栓形成的假性动脉瘤,且假性动脉瘤和原动脉内有湍流。

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