Beer M, Beissert M, Sandstede J, Wittenberg G, Tschammler A, Hahn D
Department of Radiology, University Würzburg, Germany.
J Ultrasound Med. 2001 Apr;20(4):409-12. doi: 10.7863/jum.2001.20.4.409.
Noninvasive treatment of ruptured postcatheterization pseudoaneurysms is rare. We report the use of ultrasonographically guided compression repair for the treatment of ruptured pseudoaneurysms in 2 cases. To ensure the immediate stop of bleeding, more compression was applied than for nonruptured pseudoaneurysms, regardless of flow in the femoral artery or vein, thus maximizing the effectiveness of this therapy. With this method, complete thrombosis of the pseudoaneurysm could be achieved in less than 30 minutes. In both cases, ultrasonographically guided compression repair was faster than the time needed to prepare an operating room for surgical treatment. In follow-up examinations, no recurrences or further complications were detected. Ultrasonographically guided compression repair can be used for noninvasive treatment of ruptured pseudoaneurysms in some cases, provided that more compression than indicated for nonruptured pseudoaneurysms is applied. Further clinical experience with more patients will be necessary to determine the exact benefits and possible limitations.
导管插入术后假性动脉瘤破裂的非侵入性治疗较为罕见。我们报告了2例使用超声引导下压迫修复术治疗破裂假性动脉瘤的病例。为确保立即止血，无论股动脉或静脉内有无血流，均施加比未破裂假性动脉瘤更多的压迫，从而使该治疗方法的效果最大化。采用这种方法，可在不到30分钟内使假性动脉瘤完全血栓形成。在这2例病例中，超声引导下压迫修复术比为手术治疗准备手术室所需的时间更快。在随访检查中，未发现复发或进一步的并发症。在某些情况下，超声引导下压迫修复术可用于破裂假性动脉瘤的非侵入性治疗，前提是施加比未破裂假性动脉瘤更多的压迫。需要更多患者的进一步临床经验来确定确切的益处和可能的局限性。
