颈动脉支架置入术中手动颈部按摩相关的皮下血肿。病例报告。
Subcutaneous hematoma associated with manual cervical massage during carotid artery stenting. A case report.
作者信息
Tsurumi A, Tsurumi Y, Negoro M, Yokoyama K, Oheda M, Susaki N, Tsugane T, Takahashi T, Miyachi S
机构信息
Department of Neurosurgery, Nagoya Medical Center, Nagoya, Japan.
出版信息
Interv Neuroradiol. 2011 Sep;17(3):386-90. doi: 10.1177/159101991101700318. Epub 2011 Oct 17.
We describe a patient with subcutaneous hematoma associated with manual cervical massage during carotid artery stenting.A 73-year-old man with left cervical carotid artery stenosis presented with left amaurosis fugax. We performed carotid artery stenting using distal embolic protection with balloon occlusion. Dual antiplatelet therapy was maintained in the periprocedural period and an anticoagulant agent was administered during the procedure. Because the aspiration catheter became entrapped by the stent, it did not reach the distal side of the stenotic lesion, and manual compression of the cervical region was therefore performed. Immediately afterwards, a subcutaneous hemorrhage occurred in the cervical region. There was no postoperative dyspnea due to enlargement of the hematoma, which was absorbed spontaneously.Cervical subcutaneous hematoma can occur in the cervical region due to cervical massage in patients who are receiving adjuvant antiplatelet therapy and anticoagulation therapy.
我们描述了一名在颈动脉支架置入术中因手动颈部按摩而出现皮下血肿的患者。一名73岁男性，因左颈总动脉狭窄出现左侧一过性黑矇。我们采用球囊闭塞远端栓子保护装置进行颈动脉支架置入术。围手术期维持双重抗血小板治疗，并在手术过程中给予抗凝剂。由于抽吸导管被支架卡住，未能到达狭窄病变的远端，因此对颈部区域进行了手动压迫。此后不久，颈部区域出现皮下出血。血肿未因增大导致术后呼吸困难，且自行吸收。在接受辅助抗血小板治疗和抗凝治疗的患者中，颈部按摩可导致颈部皮下血肿。
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