颅内动脉瘤弹簧圈栓塞术后腹膜后血肿：病例报告。

Retroperitoneal hematoma after coil embolization of cerebral aneurysm -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S187-90. doi: 10.4097/kjae.2010.59.S.S187. Epub 2010 Dec 31.

DOI:10.4097/kjae.2010.59.S.S187

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030033/

Abstract

We present the case of a 57-year-old man who developed retroperitoneal hemorrhage due to unintentional arterial puncture during femoral artery cannulation for Guglielmi detachable coil embolization. On emergence from anesthesia, he developed severe hypotension. Computed tomographic angiogram of the abdomen showed retroperitoneal hematomas around the urinary bladder, liver, and spleen. Because femoral artery cannulation is a common procedure for intravascular embolization in neuroradiologic procedures, Clinicians should be aware of the development of severe hematomas as a consequence of femoral artery puncture.

摘要

我们报告了一例 57 岁男性患者，在行股动脉插管用于可脱性弹簧圈栓塞术时，因意外动脉穿刺导致腹膜后出血。患者从麻醉中苏醒时出现严重低血压。腹部 CT 血管造影显示膀胱、肝脏和脾脏周围有腹膜后血肿。由于股动脉插管是神经放射学程序中血管内栓塞的常见操作，因此临床医生应意识到股动脉穿刺后可能会出现严重血肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde4/3030033/72e6a82ea2a4/kjae-59-S187-g001.jpg

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