D'Ayala Marcus, Smith Robina, Zanieski Gregory, Fahoum Bashar, Tortólani Anthony J
Department of Surgery, New York Methodist Hospital, Brooklyn, NY 11215, USA.
Ann Vasc Surg. 2008 May-Jun;22(3):473-5. doi: 10.1016/j.avsg.2007.09.018. Epub 2008 Mar 25.
Ultrasound-guided thrombin injection (UGTI) has emerged as the preferred treatment modality for pseudoaneurysms occurring as a result of percutaneous femoral arterial interventions. UGTI is safe and effective, with few complications. Native arterial thrombosis has been rarely reported in the literature following UGTI and has usually been attributed to excessive thrombin injection. We report a case of femoral arteria thrombosis occurring following UGTI of a 4 cm postcatherization pseudoaneurysm with a wide, short neck successfully treated by surgical intervention. The large size of the neck of this pseudoaneurysm likely contributed to the development of this complication.
超声引导下凝血酶注射（UGTI）已成为经皮股动脉介入术后假性动脉瘤的首选治疗方式。UGTI安全有效，并发症少。文献中很少报道UGTI后出现原发性动脉血栓形成，通常归因于凝血酶注射过量。我们报告1例在对1例4 cm导管插入术后假性动脉瘤（颈部宽且短）成功进行UGTI后发生股动脉血栓形成的病例，该病例通过手术干预得到治疗。该假性动脉瘤颈部较大可能是导致这一并发症发生的原因。
