Kumar Yogesh, Abdelbaki Ahmed, Bhatt Neeraj, Lazaga Francisco, Hooda Kusum
Conn Med. 2016 Sep;80(7):413-415.
We are presenting a case of a patient who developed a pseudoaneurysm following cardiac catheterization. This is one of the most common complications related to invasive cardiovascular procedures. A pseudoaneurysm forms when an arterial puncture site fails to seal, allowing blood to leak and form a pulsatile hematoma contained by fibromuscular tissues. Color Doppler imaging has been the investigative method of choice for this diagnosis, which demonstrates swirling flow in a mass connected to the parent artery in the neck. The pseudoaneurysm neck shows "to and fro" Doppler waveforms. The treatment options for pseudoaneurysms include ultrasound (US)-guided compression, minimally invasive percutaneous treatments including US-guided thrombin injection, coil embolization and covered stent placement, and open surgical treatment. All of these treatment options have their own advantages and disadvantages, which will be discussed in detail.
我们报告一例患者，该患者在心脏导管插入术后发生了假性动脉瘤。这是与侵入性心血管手术相关的最常见并发症之一。当动脉穿刺部位未能封闭，导致血液渗漏并形成由纤维肌肉组织包裹的搏动性血肿时，假性动脉瘤就会形成。彩色多普勒成像一直是诊断此病的首选检查方法，它显示颈部与母动脉相连的肿块内有漩涡状血流。假性动脉瘤颈部显示“来回”多普勒波形。假性动脉瘤的治疗选择包括超声（US）引导下压迫、微创经皮治疗，如US引导下注射凝血酶、弹簧圈栓塞和覆膜支架置入，以及开放手术治疗。所有这些治疗选择都有各自的优缺点，将在下文详细讨论。
