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一位八旬老人桡动脉假性动脉瘤的成功治疗

Successful treatment of a radial artery pseudoaneurysm in an octogenarian.

作者信息

Mohamed Mohamed Osama, Saif Mohsin, Townend John N, Khan Sohail Q

机构信息

Department of Cardiology, Queen Elizabeth Hospital Birmingham, Birmingham, West Midlands, UK.

出版信息

BMJ Case Rep. 2015 Aug 4;2015:bcr2015211513. doi: 10.1136/bcr-2015-211513.

Abstract

The transradial approach for coronary catheterisation has gained rising popularity owing to its fewer access site complications compared with the transfemoral approach. A rare but recognisable complication of the procedure is radial artery pseudoaneurysm (PSA). We report a case of radial PSA occurring 2 h following percutaneous coronary intervention in an 85-year-old woman, which was successfully treated by ultrasound-guided thrombin injection. This non-surgical technique has recently gained rising popularity as a relatively novel modality of managing radial PSA.

摘要

与经股动脉途径相比,经桡动脉途径进行冠状动脉导管插入术因穿刺部位并发症较少而越来越受欢迎。该手术一种罕见但可识别的并发症是桡动脉假性动脉瘤(PSA)。我们报告一例85岁女性在经皮冠状动脉介入治疗后2小时发生桡动脉PSA的病例,该病例通过超声引导下注射凝血酶成功治疗。这种非手术技术作为一种相对新颖的桡动脉PSA治疗方式近来越来越受欢迎。

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Contemporary management of postcatheterization pseudoaneurysms.导管插入术后假性动脉瘤的当代管理。
Circulation. 2007 May 22;115(20):2666-74. doi: 10.1161/CIRCULATIONAHA.106.681973.

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