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心脏导管插入术后危及生命的股动脉假性动脉瘤破裂

Life-threatening Rupture of a Femoral Pseudoaneurysm after Cardiac Catheterization.

作者信息

Petrou Emmanouil, Malakos Ioannis, Kampanarou Stamatina, Doulas Nikolaos, Voudris Vassilis

机构信息

Division of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.

Imaging Department, Onassis Cardiac Surgery Center, Athens, Greece.

出版信息

Open Cardiovasc Med J. 2016 Sep 30;10:201-204. doi: 10.2174/1874192401610010201. eCollection 2016.

Abstract

A pseudoaneurysm refers to a defect in the arterial wall, allowing communication of arterial blood with the adjacent extra-luminal space. Pseudoaneurysms result from traumatic arterial injury. With the increasing utilization of percutaneous arterial interventions, iatrogenic arterial injury has become the predominant cause of pseudoaneurysm formation. Rupture of the pseudoaneurysm comprises a vascular emergency. Clinical suspicion and imaging techniques are the cornerstones of timely diagnosis and appropriate management of the condition. Herein, we report the case of a 69 year-old woman who suffered a life-threatening profunda femoral artery pseudoaneurysm rupture after a routine cardiac catheterization, that was treated surgically.

摘要

假性动脉瘤是指动脉壁存在缺陷,使得动脉血与相邻的管腔外间隙相通。假性动脉瘤由创伤性动脉损伤引起。随着经皮动脉介入治疗的日益普及,医源性动脉损伤已成为假性动脉瘤形成的主要原因。假性动脉瘤破裂属于血管急症。临床怀疑和影像学检查技术是及时诊断和妥善处理该病症的基石。在此,我们报告一例69岁女性患者的病例,该患者在常规心导管检查后发生危及生命的股深动脉假性动脉瘤破裂,并接受了手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd9/5054504/1e08832bd2c4/TOCMJ-10-201_F1.jpg

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