超声引导下注射凝血酶成功治疗医源性锁骨下动脉假性动脉瘤
Successful Treatment of Iatrogenic Subclavian Artery Pseudoaneurysm by Ultrasound-Guided Thrombin Injection.
作者信息
Yamashita Yoshiyuki, Kimura Satoshi, Kurisu Kazuhiro, Ueno Yasutaka
机构信息
Department of Cardiovascular Surgery, Shimonoseki City Hospital, Shimonoseki, Yamaguchi, Japan.
出版信息
Ann Vasc Dis. 2016;9(2):108-10. doi: 10.3400/avd.cr.15-00091. Epub 2016 Mar 8.
Abstract
Ultrasound-guided thrombin injection has been well described as a safe and effective treatment for pseudoaneurysms of the femoral artery. However, cases for subclavian artery pseudoaneurysm are rare. An 82-year-old man developed an iatrogenic right subclavian artery pseudoaneurysm. The pseudoaneurysm, which was partially thrombosed, was successfully treated by ultrasound-guided percutaneous thrombin injection. A trial injection with saline under color Doppler ultrasonography was helpful for confirming that the tip of the needle was in the sac with blood flow in the partially thrombosed pseudoaneurysm. Ultrasound-guided thrombin injection can be the first treatment of choice to treat subclavian artery pseudoaneurysm.
摘要
超声引导下注射凝血酶已被充分描述为治疗股动脉假性动脉瘤的一种安全有效的方法。然而，锁骨下动脉假性动脉瘤的病例很少见。一名82岁男性发生了医源性右锁骨下动脉假性动脉瘤。该假性动脉瘤部分血栓形成，通过超声引导下经皮注射凝血酶成功治疗。在彩色多普勒超声引导下进行盐水试验注射有助于确认针尖端位于部分血栓形成的假性动脉瘤内有血流的囊腔内。超声引导下注射凝血酶可作为治疗锁骨下动脉假性动脉瘤的首选治疗方法。
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本文引用的文献
1
Ultrasound-guided percutaneous thrombin injection for post-catheterization pseudoaneurysm.
Circ J. 2015;79(6):1277-81. doi: 10.1253/circj.CJ-14-1119. Epub 2015 Mar 20.
2
A case of iatrogenic subclavian artery injury successfully treated with endovascular procedures.
Ann Vasc Dis. 2011;4(1):53-5. doi: 10.3400/avd.cr.10.00012. Epub 2011 Mar 26.
3
Complex subclavian artery pseudoaneurysm causing failure of endovascular stent repair with salvage by percutaneous thrombin injection.
J Vasc Surg. 2010 Oct;52(4):1058-60. doi: 10.1016/j.jvs.2010.05.085. Epub 2010 Jul 17.
4
Symptomatic occlusion at the origin of the vertebral artery treated using external carotid artery-cervical vertebral artery bypass with interposed saphenous vein graft.
Surg Neurol. 2008 Feb;69(2):164-8; discussion 168. doi: 10.1016/j.surneu.2007.07.073.
5
Postcatheterization pseudoaneurysm: results of US-guided percutaneous thrombin injection in 240 patients.
Radiology. 2005 Sep;236(3):1104-10. doi: 10.1148/radiol.2363040736. Epub 2005 Jul 29.
6
Traumatic subclavian artery pseudoaneurysm: periprocedural salvage of failed stent-graft exclusion using coil embolization.
J Endovasc Ther. 2001 Apr;8(2):197-201. doi: 10.1177/152660280100800216.
7
Thrombin injection for treating a subclavian artery pseudoaneurysm.
Surgery. 2000 Jun;127(6):716-8. doi: 10.1067/msy.2000.105293.
8
Expanded indications for ultrasound-guided thrombin injection of pseudoaneurysms.
J Vasc Surg. 2000 Feb;31(2):289-98. doi: 10.1016/s0741-5214(00)90160-5.
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