DiPrete D A, Cronan J J
Department of Diagnostic Imaging, Rhode Island Hospital, Providence, RI 02903.
J Ultrasound Med. 1992 Sep;11(9):489-92. doi: 10.7863/jum.1992.11.9.489.
Treatment of pseudoaneurysms has traditionally been surgical. We evaluated 12 patients who developed femoral artery pseudoaneurysms after cardiac catheterization. Using color Doppler ultrasonography steady pressure was applied, occluding flow in both the neck and body of the pseudoaneurysm for 10 minute intervals. Six patients were treated successfully. We believe the same technique was unsuccessful in five additional patients because compression of a short (< 5 mm) or wide neck is ineffective. In one patient the pseudoaneurysm thrombosed spontaneously prior to a treatment attempt. We believe compression ultrasonography of pseudoaneurysms should be offered as a therapeutic alternative to surgery in selected cases.
假性动脉瘤的治疗传统上是外科手术。我们评估了12例在心脏导管插入术后发生股动脉假性动脉瘤的患者。使用彩色多普勒超声，施加稳定压力，以10分钟为间隔阻断假性动脉瘤颈部和瘤体的血流。6例患者治疗成功。我们认为另外5例患者治疗未成功是因为对短（<5mm）或宽颈的压迫无效。1例患者在尝试治疗前假性动脉瘤自发血栓形成。我们认为在某些病例中，假性动脉瘤的压迫超声检查应作为手术的一种治疗替代方法。
