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重症监护病房中的桡动脉假性动脉瘤

Radial artery pseudoaneurysm in the intensive care unit.

作者信息

Gaertner Wolfgang B, Santilli Steven M, Reil Todd D

机构信息

Division of Vascular Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.

出版信息

Ann Vasc Surg. 2010 May;24(4):554.e13-6. doi: 10.1016/j.avsg.2009.07.039.

Abstract

Pseudoaneurysms may occur at the wrist after catheterization of the radial artery but may also occur after arteriovenous shunting for dialysis or after direct trauma to an artery. Radial artery pseudoaneurysms are being increasingly reported because of widespread use of invasive monitoring. We report a case of radial artery pseudoaneurysm at the wrist related to catheterization. The pseudoaneurysm thrombosed after 6 days of external compression. In selected cases, extended external compression is a useful therapeutic option, especially in patients who are medically unfit to undergo general anesthesia or operative treatment.

摘要

桡动脉导管插入术后手腕处可能会出现假性动脉瘤,但在动静脉分流进行透析后或动脉受到直接创伤后也可能发生。由于侵入性监测的广泛应用,桡动脉假性动脉瘤的报道越来越多。我们报告一例与导管插入术相关的手腕部桡动脉假性动脉瘤病例。假性动脉瘤在外部压迫6天后血栓形成。在某些病例中,延长外部压迫是一种有用的治疗选择,特别是对于那些因身体原因不适于接受全身麻醉或手术治疗的患者。

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