联合血管内介入与经皮注射凝血酶治疗医源性假性动脉瘤。病例报告。
Combined endovascular intervention and percutaneous thrombin injection in the treatment of iatrogenic pseudoaneurysm. Case report.
作者信息
Gabriel M, Juszkat R, Pukacki F, Waliszewski K
机构信息
Department of General and Vascular Surgery, University of Medical Sciences in Poznan, Poznan, Poland.
出版信息
Minerva Chir. 2007 Jun;62(3):205-9.
One of the basic techniques of treatment of iatrogenic pseudoaneurysms is percutaneous thrombin injection. Unfortunately, success rate of this treatment can be limited in cases associated with extensive damage to arterial wall. Our paper presents one case of combined treatment involving endovascular occlusion of the entry to the false aneurysm and percutaneous thrombin injection into the pseudoaneurysm chamber. In our opinion this technique can be successfully applied in patients with contraindications for compression therapy, surgical intervention or failure of traditional injection due to large entry, multiple arterial wall damage or accompanying arteriovenous fistula.
医源性假性动脉瘤治疗的基本技术之一是经皮注射凝血酶。不幸的是，在伴有动脉壁广泛损伤的病例中，这种治疗的成功率可能有限。我们的论文介绍了一例联合治疗病例，包括对假性动脉瘤入口进行血管内封堵以及向假性动脉瘤腔内经皮注射凝血酶。我们认为，对于因压迫治疗禁忌、手术干预禁忌或因入口大、动脉壁多处损伤或伴有动静脉瘘导致传统注射失败的患者，这种技术可以成功应用。
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