Stawicki Stanislaw P, Hoey Brian A
Department of Surgery, St. Luke's Hospital and Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA.
J Clin Ultrasound. 2007 Feb;35(2):88-93. doi: 10.1002/jcu.20268.
Sonographically guided percutaneous thrombin injection is a minimally invasive and highly successful treatment of arterial pseudoaneurysms. Despite a very low complication rate, several severe arterial thrombotic events have been reported following thrombin injection of pseudoaneurysms. Native arterial thrombosis, though recognized as a severe complication of thrombin injection, has not been well described in the literature. We report a case of successful surgical management of arterial thrombosis after percutaneous thrombin injection of a femoral artery pseudoaneurysm in a 69-year-old woman. The pathophysiology, risk factors, diagnosis, and treatment options for this complication are discussed.
超声引导下经皮注射凝血酶是一种微创且治疗动脉假性动脉瘤非常成功的方法。尽管并发症发生率很低，但在注射凝血酶治疗假性动脉瘤后，已有数例严重动脉血栓形成事件的报道。原发性动脉血栓形成虽然被认为是凝血酶注射的一种严重并发症，但在文献中尚未得到充分描述。我们报告了一例69岁女性在经皮注射凝血酶治疗股动脉假性动脉瘤后成功进行动脉血栓手术治疗的病例。并讨论了该并发症的病理生理学、危险因素、诊断及治疗选择。
