Holder Rebecca, Hilton Derek, Martin Janis, Harris Peter L, Rowlands Peter C, McWilliams Richard G
Department of Radiology, Royal Liverpool University Hospital, England, UK.
J Endovasc Ther. 2002 Feb;9(1):25-8. doi: 10.1177/152660280200900105.
To report the successful treatment of a carotid artery pseudoaneurysm by percutaneous thrombin injection.
A 71-year-old man with end-stage renal failure presented with acute left ventricular failure. The right common carotid artery (CCA) was punctured during attempted jugular line insertion, and he developed a large pseudoaneurysm connected to the CCA by a long, narrow neck. Ultrasound-guided compression was unsuccessful, so another technique was attempted. An occlusion balloon was inflated in the CCA at the neck of the aneurysm to avoid distal embolization, and 250 units of human thrombin were injected into the sac percutaneously; thrombosis was instantaneous. There were no procedural complications, and repeat ultrasound at 3 months showed resolution of the hematoma and no residual pseudoaneurysm. There were no neurological complications.
Percutaneous thrombin injection may be a new and successful method of treating carotid artery pseudoaneurysms.
报告经皮注射凝血酶成功治疗颈动脉假性动脉瘤的病例。
一名71岁终末期肾衰竭男性患者出现急性左心室衰竭。在试图插入颈静脉导管时，右侧颈总动脉（CCA）被穿刺，随后形成了一个大的假性动脉瘤，通过一个长而狭窄的颈部与CCA相连。超声引导下压迫止血失败，因此尝试了另一种技术。在动脉瘤颈部的CCA内充盈封堵球囊以避免远端栓塞，然后经皮向瘤腔内注射250单位人凝血酶；血栓瞬间形成。无操作并发症，3个月后复查超声显示血肿消退且无残留假性动脉瘤。无神经并发症。
经皮注射凝血酶可能是治疗颈动脉假性动脉瘤的一种新的成功方法。
