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细针抽吸颈淋巴结后发生的颅外颈内动脉医源性危及生命的假性动脉瘤:两例儿童病例报告。

Iatrogenic life-threatening pseudoaneurysms of extracranial internal carotid artery after fine-needle aspiration of cervical lymph nodes: report of two cases in children.

机构信息

Department of Radiodiagnosis and Interventional Radiology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

出版信息

Cardiovasc Intervent Radiol. 2009 Nov;32(6):1260-3. doi: 10.1007/s00270-009-9506-x. Epub 2009 Feb 10.

DOI:10.1007/s00270-009-9506-x
PMID:19205796
Abstract

Two children younger than 10 sought care for large, tense pulsatile swelling in the neck after fine-needle aspiration of cervical lymph nodes that resulted in severe respiratory distress. Computed tomographic angiography confirmed the presence of large pseudoaneurysms that caused a mass effect, leading to compression of surrounding vessels and airway. Pseudoaneurysms were successfully treated by coil embolization in one patient and surgical ligation of the internal carotid artery in the other.

摘要

两名 10 岁以下儿童在接受颈淋巴结细针抽吸后出现颈部大而紧张的搏动性肿胀,伴有严重呼吸窘迫,前来就诊。计算机断层血管造影术证实存在大的假性动脉瘤,导致肿块效应,压迫周围血管和气道。一名患者通过线圈栓塞成功治疗假性动脉瘤,另一名患者通过颈内动脉结扎手术治疗。

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