经皮冠状动脉介入治疗后桡动脉假性动脉瘤的超声引导下凝血酶注射

Ultrasound guided thrombin injection of pseudoaneurysm of the radial artery after percutaneous coronary intervention.

作者信息

Herold J, Brucks S, Boenigk H, Said S M, Braun-Dullaeus R C

机构信息

Department of Internal Medicine/Cardiology, Angiology and Pneumology, Magdeburg University, Germany.

出版信息

Vasa. 2011 Jan;40(1):78-81. doi: 10.1024/0301-1526/a000074.

DOI:10.1024/0301-1526/a000074

PMID:21283978

Abstract

Thrombin injection is frequently used to occlude iatrogenic pseudoaneurysms in larger vessels, but has never successfully been used in the radial artery location. Here we report the use of this treatment in a patient with radial artery pseudoaneurysm following coronary intervention. After Doppler sonographic visualization of the pseudoaneurysm cavity and its neck, an ultrasound-guided transcutaneous injection of thrombin was carried out. Immediately after the injection, the pseudoaneurysm was completely clotted and Doppler measurement confirmed the stop of blood flow. The result suggests that ultrasound-guided injection of thrombin into a radial artery pseudoaneurysm following coronary intervention is a feasible alternative to surgical intervention.

摘要

凝血酶注射常用于封堵较大血管中的医源性假性动脉瘤，但从未成功应用于桡动脉部位。在此，我们报告了1例冠状动脉介入术后桡动脉假性动脉瘤患者使用该治疗方法的情况。在通过多普勒超声明确假性动脉瘤腔及其颈部后，在超声引导下经皮注射凝血酶。注射后，假性动脉瘤立即完全形成血栓，多普勒测量证实血流停止。结果表明，冠状动脉介入术后在超声引导下向桡动脉假性动脉瘤内注射凝血酶是手术干预的一种可行替代方法。