McCoy D, Scharfstein B, Walker W, Evans J
East Tennessee State University Department of Surgery, Johnson City, USA.
Am Surg. 2000 Oct;66(10):975-7.
We reviewed 13 cases of ultrasound-guided thrombin injection of femoral pseudoaneurysms. All cases occurred within a 17-month period from January 1998 through May 1999 and were complications of femoral artery puncture. Immediate total thrombosis occurred in nine of 13 patients. Twenty-four-hour follow-up ultrasound in seven patients revealed no recurrence of pseudoaneurysm. Two of 13 patients required operative repair. One pseudoaneurysm thrombosed with 15 minutes of compression after injection and one case required a second injection. No cases of arterial thrombosis were noted. Ultrasound-guided thrombin injection for femoral artery pseudoaneurysm represents a safe and effective alternative to operative repair.
我们回顾了13例超声引导下凝血酶注射治疗股动脉假性动脉瘤的病例。所有病例均发生在1998年1月至1999年5月的17个月期间，均为股动脉穿刺的并发症。13例患者中有9例立即完全形成血栓。7例患者的24小时随访超声显示假性动脉瘤无复发。13例患者中有2例需要手术修复。1例假性动脉瘤在注射后压迫15分钟形成血栓，1例需要第二次注射。未发现动脉血栓形成的病例。超声引导下凝血酶注射治疗股动脉假性动脉瘤是一种安全有效的手术修复替代方法。
