Goel Pravin K, Modi Nitin, Baijal Sanjay Saran, Kathuria Manoj, Agrawal Surendra K
Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow.
Indian Heart J. 2003 Jul-Aug;55(4):365-7.
The formation of pseudoaneurysm in the femoral artery after cardiac catheterization is a well-recognized complication occurring in 1%-4% of cases. It is traditionally managed surgically and has a high morbidity. Prolonged ultrasound-guided compression of the neck of the pseudoaneurysm, and ultrasound-guided injection of thrombin into the aneurysm are newer modalities of treatment especially for small aneurysms. We describe the case of a giant pseudoaneurysm of the right femoral artery, post-arteriography, which was successfully managed with ultrasonographically guided percutaneous thrombin injection.
心脏导管插入术后股动脉假性动脉瘤的形成是一种公认的并发症,发生率为1%-4%。传统上采用手术治疗,且发病率较高。对于较小的动脉瘤,延长超声引导下对假性动脉瘤颈部的压迫以及超声引导下向动脉瘤内注射凝血酶是较新的治疗方式。我们描述了一例动脉造影术后右侧股动脉巨大假性动脉瘤的病例,该病例通过超声引导下经皮注射凝血酶成功治愈。