Fellmeth B D, Roberts A C, Bookstein J J, Freischlag J A, Forsythe J R, Buckner N K, Hye R J
Department of Diagnostic Radiology, University of California, San Diego Medical Center 92103.
Radiology. 1991 Mar;178(3):671-5. doi: 10.1148/radiology.178.3.1994400.
Ultrasound-guided compression repair (UGCR) of catheterization-related femoral artery injuries was evaluated as a possible new imaging-guided interventional procedure. Thirty-nine femoral artery injuries (35 pseudoaneurysms, four arteriovenous fistulas) were detected with color Doppler flow imaging in patients with enlarging groin hematomas and/or groin bruits 6 hours to 14 days after catheterization procedures. UGCR was not performed in 10 patients due to spontaneous thrombosis (n = 4), infection (n = 1) or skin ischemia (n = 1), unsuitable anatomy (n = 3), or excessive discomfort (n = 1). The remaining 29 patients underwent a full trial of compression therapy, and the lesion was eliminated in 27. Follow-up color flow scans were obtained after 24-72 hours in all 27 successful cases and at 1-15 months in 19; no recurrences or complications occurred. UGCR for acute injuries is safe and technically simple and is promising as a cost-effective, first-line treatment for uncomplicated catheterization-related femoral artery injuries. UGCR is probably not appropriate for long-standing injuries.
超声引导下压迫修复术（UGCR）被评估为一种可能的新型影像引导介入手术，用于治疗与导管插入术相关的股动脉损伤。在导管插入术后6小时至14天出现腹股沟血肿扩大和/或腹股沟杂音的患者中，通过彩色多普勒血流成像检测到39例股动脉损伤（35例假性动脉瘤，4例动静脉瘘）。由于自发血栓形成（n = 4）、感染（n = 1）或皮肤缺血（n = 1）、解剖结构不合适（n = 3）或极度不适（n = 1），10例患者未进行UGCR。其余29例患者接受了全面的压迫治疗试验，其中27例病变消除。所有27例成功病例在术后24 - 72小时进行了随访彩色血流扫描，19例在术后1 - 15个月进行了随访；未出现复发或并发症。UGCR用于急性损伤安全且技术简单，有望成为治疗无并发症的与导管插入术相关股动脉损伤的一种经济有效的一线治疗方法。UGCR可能不适用于长期损伤。
