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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.

DOI:10.2174/1874192401610010201
PMID:27733869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5054504/
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/dcd9/5054504/470ab9d9ee92/TOCMJ-10-201_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd9/5054504/1e08832bd2c4/TOCMJ-10-201_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd9/5054504/470ab9d9ee92/TOCMJ-10-201_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd9/5054504/1e08832bd2c4/TOCMJ-10-201_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd9/5054504/470ab9d9ee92/TOCMJ-10-201_F2.jpg

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本文引用的文献

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Life-threatening rupture of a false aneurysm after femoral arterial catheterization: unexpected delay after a common procedure.股动脉导管插入术后危及生命的假性动脉瘤破裂:常见操作后出现意外延迟。
Case Rep Vasc Med. 2013;2013:403507. doi: 10.1155/2013/403507. Epub 2013 May 22.
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Management of a complicated ruptured infected pseudoaneurysm of the femoral artery in a drug addict.一名吸毒者股动脉复杂破裂感染性假性动脉瘤的治疗
Case Rep Vasc Med. 2012;2012:434768. doi: 10.1155/2012/434768. Epub 2012 Nov 28.
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Percutaneous treatment of delayed post-atherectomy superficial femoral artery pseudoaneurysm.
血管内介入治疗后致命性股动脉假性动脉瘤破裂:一例报告及文献复习
Neurointervention. 2024 Mar;19(1):52-56. doi: 10.5469/neuroint.2024.00017. Epub 2024 Feb 5.
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A Case of Puncture-Site Giant Pseudoaneurysm Following Recanalization Therapy for Acute Ischemic Stroke: Marked Growth and Rupture of a Femoral Artery Pseudoaneurysm.1例急性缺血性卒中再通治疗后穿刺部位巨大假性动脉瘤病例:股动脉假性动脉瘤显著增大并破裂
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