Stolt Maria, Braun-Dullaeus Ruediger, Herold Joerg
1 Department of Angiology and Cardiology, Otto-von-Guericke University of Magdeburg, Germany.
Vasa. 2018 Apr;47(3):177-185. doi: 10.1024/0301-1526/a000691. Epub 2018 Feb 14.
In addition to haematoma and arteriovenous fistula, the iatrogenic pseudoaneurysm is a common complication of vascular access that is caused by a perforation in the arterial wall. Iatrogenic pseudoaneurysms can progress in size and lead to rupture and active bleeding. Over the previous few decades, therapeutic methods have evolved from surgical repair to less invasive options, such as ultrasound-guided compression therapy (UGCT) and ultrasound-guided thrombin injection (UGTI). This paper presents an overview of the diagnostic and treatment modalities used in femoral pseudoaneurysms as well as a comprehensive summary of previous studies that analysed the success and complication rates of UGCT and UGTI.
除血肿和动静脉瘘外，医源性假性动脉瘤是血管通路的常见并发症，由动脉壁穿孔引起。医源性假性动脉瘤会逐渐增大，导致破裂和活动性出血。在过去几十年中，治疗方法已从手术修复发展为侵入性较小的选择，如超声引导下压迫治疗（UGCT）和超声引导下注射凝血酶（UGTI）。本文概述了股部假性动脉瘤的诊断和治疗方式，并全面总结了以往分析UGCT和UGTI成功率及并发症发生率的研究。
