Nikam Shivprasad D, Morgan Joe H, Zakhary Emad M, Galt Spencer W, Elmore James R, Franklin David P
Department of Vascular Surgery, Geisinger Medical Center, Danville, PA 17822-2150, USA.
J Vasc Surg. 2007 Sep;46(3):565-8. doi: 10.1016/j.jvs.2007.04.046.
A 45-year-old woman who presented with blue toe syndrome was treated with atherectomy for a focal plaque located in the superficial femoral artery. She subsequently developed a large pseudoaneurysm at the atherectomy site requiring multiple sequential endovascular procedures in order to maintain in-line blood flow to the foot. Pseudoaneurysm formation at native peripheral artery atherectomy site has not been reported previously. We discuss possible complications of atherectomy and the possible mechanism of pseudoaneurysm formation after atherectomy. We address the importance of understanding risks of these minimally invasive procedures along with planning follow-up duplex and potential bail-out tactics.
一名45岁患有蓝趾综合征的女性因股浅动脉局灶性斑块接受了旋切术治疗。随后，她在旋切术部位出现了一个大的假性动脉瘤，需要多次连续的血管内介入手术以维持足部的直线血流。此前尚未有关于原位外周动脉旋切术部位形成假性动脉瘤的报道。我们讨论了旋切术可能的并发症以及旋切术后假性动脉瘤形成的可能机制。我们强调了了解这些微创手术风险以及规划后续双功超声检查和潜在补救策略的重要性。
