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超声引导下压迫治疗高位起源桡动脉假性动脉瘤

Pseudoaneurysm of a high origin radial artery treated by ultrasound-guided compression.

作者信息

Esfe A R G, Bozorg S M V, Yazdi H R

机构信息

Department of Radiology and Imaging, Imam Khomeini Hospital, Keshavarz Blvd, Tehran, Iran.

出版信息

Singapore Med J. 2009 Jul;50(7):e250-2.

Abstract

A high origin of the radial artery from the brachial artery is the most frequently encountered arterial anomaly in an upper extremity, and is reported in seven percent of individuals. This variant is vulnerable to injury because of its more superficial location. A 59-year-old man developed a pseudoaneurysm following the inadvertent cannulation of a high origin radial artery. We report the successful treatment of the pseudoaneurysm by ultrasound-guided compression. Ultrasound-guided compression is an available and simple method for the repair of arterial pseudoaneurysms, and delayed complete thrombosis can be expected even if a residual flow remains after the initial compression.

摘要

桡动脉起源于肱动脉高位是上肢最常见的动脉变异,据报道在7%的个体中存在。由于其位置较浅,这种变异易受损伤。一名59岁男性在无意中穿刺高位起源的桡动脉后发生了假性动脉瘤。我们报告了通过超声引导压迫成功治疗该假性动脉瘤的病例。超声引导压迫是一种可行且简单的修复动脉假性动脉瘤的方法,即使在初始压迫后仍有残余血流,也可预期延迟完全血栓形成。

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