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经皮超声引导下注射凝血酶治疗创伤后假性动脉瘤

Percutaneous ultrasound-guided thrombin injection for coagulation of post-traumatic pseudoaneurysms.

作者信息

D'Achille A, Sebben R A, Davies R P

机构信息

Department of Medical Imaging, North Western Adelaide Health Service, The Queen Elizabeth Hospital Campus, Woodville, South Australia, Australia.

出版信息

Australas Radiol. 2001 May;45(2):218-21. doi: 10.1046/j.1440-1673.2001.00906.x.

DOI:10.1046/j.1440-1673.2001.00906.x
PMID:11380368
Abstract

Most peripheral pseudoaneurysms are iatrogenic or, less commonly, post-traumatic. Pseudoaneurysms are associated with characteristic findings of a pulsatile palpable mass and an audible to and fro murmur. The diagnosis can be easily confirmed using colour duplex ultrasound. A successful treatment for the coagulation of pseudoaneurysms as an alternative to ultrasound-guided manual compression is described. The method involves ultrasound-guided direct percutaneous injection of a small quantity of thrombin through a fine needle. This technique is simple and effective, resulting in rapid occlusion of the pseudoaneurysm. Two cases are reported.

摘要

大多数外周假性动脉瘤是医源性的,或较少见的是创伤后形成的。假性动脉瘤伴有搏动性可触及肿块和可闻及的来回杂音等特征性表现。使用彩色双功超声可轻松确诊。本文描述了一种作为超声引导下手动压迫替代方法的假性动脉瘤凝血成功治疗方法。该方法包括通过细针在超声引导下经皮直接注射少量凝血酶。此技术简单有效,可使假性动脉瘤迅速闭塞。报告了两例病例。

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