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透析通路假性动脉瘤:带覆膜支架的血管腔内治疗

Dialysis access pseudoaneurysm: endovascular treatment with a covered stent.

作者信息

Centola Marco, Ferraresi Roberto, Danzi Gian B

机构信息

Division of Cardiology, Fondazione IRCCS, Ospedale Maggiore Policlinico Mangiagalli e Regina Elena, Milano, Italy.

出版信息

BMJ Case Rep. 2010 Oct 31;2010:bcr0720080477. doi: 10.1136/bcr.07.2008.0477.

Abstract

Iatrogenic pseudoaneurysms of the brachial artery are rare complications of haemodialysis access procedures and can lead to substantial morbidity and mortality if not managed promptly; however, surgery is also associated with the potential risk of severe complications. We describe the clinical and radiological findings relating to a dialysed patient who developed a huge iatrogenic pseudoaneurysm of the brachial artery (due to an inadvertent artery puncture), which was successfully treated by means of the percutaneous implantation of a polytetrafluoroethylene (PTFE)-covered stent.

摘要

肱动脉医源性假性动脉瘤是血液透析通路手术罕见的并发症,如果不及时处理可导致严重的发病和死亡;然而,手术也存在严重并发症的潜在风险。我们描述了一名透析患者的临床和影像学表现,该患者因意外动脉穿刺形成了巨大的肱动脉医源性假性动脉瘤,通过经皮植入聚四氟乙烯(PTFE)覆膜支架成功治疗。

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