双颈股动脉假性动脉瘤的纤维蛋白封闭剂修复术
Fibrin sealant repair of a double-necked femoral pseudoaneurysm.
作者信息
Flumignan Ronald, Guedes Neto Henrique, Araujo Samuel, Giulio Yuri Di, Porta Camila, Amorim Jorge, Nakano Luis
机构信息
Universidade Federal de São Paulo, Division of Vascular Endovascular Surgery, Department of Surgery, São Paulo, SP, Brasil.
出版信息
Rev Assoc Med Bras (1992). 2018 Dec;64(12):1069-1072. doi: 10.1590/1806-9282.64.12.1069.
OBJECTIVE
Pseudoaneurysms are rare, but femoral artery false aneurysms have increased in recent decades.
METHODS
They are related to endovascular procedures performed on patients with increased risk for this complication. Pseudoaneurysms generally present with only one neck. This paper describes a femoral artery pseudoaneurysm with two necks that occurred after an endovascular procedure and was successfully treated by duplex-guided fibrin sealant.
RESULTS
Pseudoaneurysms are rare, but femoral artery pseudoaneurysms have increased with a discrepant incidence reported from 0.5% to almost 4%, mainly related to the increase of endovascular procedures in recent decades.
CONCLUSIONS
The double-necked pseudoaneurysm identification was of utmost importance to guide the clinical decision-making and allowed good outcomes for the patient.
目的
假性动脉瘤较为罕见，但近几十年来股动脉假性动脉瘤的发生率有所上升。
方法
它们与对该并发症风险增加的患者进行的血管内手术有关。假性动脉瘤通常只有一个颈部。本文描述了一例血管内手术后出现的具有两个颈部的股动脉假性动脉瘤，并通过双功超声引导下的纤维蛋白密封剂成功治疗。
结果
假性动脉瘤较为罕见，但股动脉假性动脉瘤的发生率有所上升，报道的发生率差异较大，从0.5%到近4%，主要与近几十年来血管内手术的增加有关。
结论
双颈部假性动脉瘤的识别对于指导临床决策至关重要，并为患者带来了良好的治疗效果。
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