Morgan Robert, Belli Anna-Maria
Department of Vascular Radiology, St. George's Hospital, Blackshaw Road, London SW17 0QT, United Kingdom.
J Vasc Interv Radiol. 2003 Jun;14(6):697-710. doi: 10.1097/01.rvi.0000071089.76348.6a.
Pseudoaneurysms are a recognized complication of arterial catheterization. Until recently, the standard method of treatment has been surgical. The past decade has seen the introduction of several minimally invasive techniques that have largely replaced surgical treatment of pseudoaneurysms. The most commonly used methods are ultrasound-guided compression and percutaneous injection of thrombin into the pseudoaneurysm. This review article describes all the methods available for the treatment of postcatheterization pseudoaneurysms, presents results from the largest published series, and discusses the relative merits of each technique.
假性动脉瘤是动脉导管插入术公认的并发症。直到最近,标准的治疗方法还是手术治疗。在过去十年中,引入了几种微创技术,这些技术在很大程度上已取代了假性动脉瘤的手术治疗。最常用的方法是超声引导下压迫和经皮向假性动脉瘤内注射凝血酶。这篇综述文章描述了所有可用于治疗导管插入术后假性动脉瘤的方法,展示了已发表的最大系列研究的结果,并讨论了每种技术的相对优点。