Rancic Zoran, Pecoraro Felice, Nigro Gianluigi, Simon Roger, Frauenfelder Thomas, Mayer Dieter, Lachat Mario
Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
Gen Thorac Cardiovasc Surg. 2014 Jan;62(1):68-70. doi: 10.1007/s11748-013-0219-3. Epub 2013 Feb 13.
The aim of this study is to report a new minimally invasive technique of superficial temporal artery (STA) pseudoaneurysm treatment. Several surgical options have been employed to treat STA pseudoaneurysms. To address this rare condition, the employed techniques are ligation and excision of the aneurysm, endovascular coil embolization or percutaneous ultrasound-guided thrombin injection. Between techniques no significant differences are reported in terms of outcomes. The decision to adopt a technique depends on STA pseudoaneurysm morphology and surgeon preference. In the present report, STA pseudoaneurysm afferent and efferent branches were identified by ultrasound in a 92-year-old female. Under local anaesthesia, these branches were ligated through small skin incisions. STA pseudoaneurysm decompression was obtained by an 'over the needle aspiration'. A compressive dressing was left in space for 48 h.
本研究的目的是报告一种治疗颞浅动脉（STA）假性动脉瘤的新型微创技术。已经采用了几种手术方法来治疗STA假性动脉瘤。为了应对这种罕见情况，所采用的技术包括动脉瘤结扎和切除、血管内弹簧圈栓塞或经皮超声引导下注射凝血酶。在各种技术之间，未报告在治疗效果方面存在显著差异。采用何种技术的决定取决于STA假性动脉瘤的形态以及外科医生的偏好。在本报告中，通过超声在一名92岁女性患者中识别出STA假性动脉瘤的输入和输出分支。在局部麻醉下，通过小的皮肤切口结扎这些分支。通过“针上穿刺抽吸”实现STA假性动脉瘤减压。在该部位留置压迫敷料48小时。
