超声引导下注射凝血酶治疗浅表创伤性假性动脉瘤及相关扩大性血肿：5例患者的经验
Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients.
作者信息
Sundararajan Sri Hari, Murillo Phillip, Khan Adam, Gendel Vyacheslav, Gribbin Christopher, Roychowdhury Sudipta, Nosher John
机构信息
Department of Radiology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ USA.
Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ USA.
出版信息
J Trauma Manag Outcomes. 2016 Feb 23;10:4. doi: 10.1186/s13032-016-0034-9. eCollection 2016.
BACKGROUND
Angiography allows for excellent characterization and treatment of traumatic pseudoaneurysms. However, ultrasound-guided thrombin injection for pseudoaneurysm thrombosis allows for radiation-free treatment of superficial pseudoaneurysms and superficial expanding hematomas.
METHODS
A retrospective review of 5 patient cases treated under this paradigm was performed following institutional review board approval. Outcomes following intervention were recorded and compared amongst the patient cohort.
RESULTS
Ultrasound-guided closure of traumatic pseudoaneurysms allowed for reduced procedural times and procedural invasiveness.
CONCLUSIONS
As demonstrated by the following cases, ultrasound guided thrombin injection is a good method of primary treatment for superficial pseudoaneurysms, or as an alternative treatment in cases where transcatheter embolization fails.
背景
血管造影术有助于对外伤性假性动脉瘤进行出色的特征描述和治疗。然而，超声引导下注射凝血酶治疗假性动脉瘤血栓形成，可为浅表性假性动脉瘤和浅表性扩展性血肿提供无辐射治疗。
方法
在获得机构审查委员会批准后，对在此模式下治疗的5例患者病例进行回顾性分析。记录干预后的结果并在患者队列中进行比较。
结果
超声引导下闭合外伤性假性动脉瘤可缩短手术时间并降低手术侵入性。
结论
如下列病例所示，超声引导下注射凝血酶是浅表性假性动脉瘤的一种良好的初始治疗方法，或在经导管栓塞失败的情况下作为替代治疗方法。
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