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经活检后乳腺假性动脉瘤的影像学特征和治疗选择:基于病例的图像综述。

Imaging Features and Treatment Options for Breast Pseudoaneurysms After Biopsy: A Case-Based Pictorial Review.

机构信息

St Vincent Healthcare, Billings, Montana, USA.

NYU Langone Radiology, Garden City, New York, USA.

出版信息

J Ultrasound Med. 2020 Jan;39(1):181-190. doi: 10.1002/jum.15082. Epub 2019 Jun 29.

Abstract

Pseudoaneurysm (PSA) formation is a potential complication of breast biopsies. Ultrasound is the most common imaging modality used for evaluation and treatment of a PSA. Color Doppler images show a cystic structure with swirling flow inside in a "to-and-fro" pattern. Treatment options for PSA include observation, ultrasound-guided focused compression, thrombin injection, open surgical repair, and percutaneous embolization. The risks and benefits of these treatment options will be discussed in the following cases.

摘要

假性动脉瘤(PSA)的形成是乳房活检的一种潜在并发症。超声是用于评估和治疗 PSA 的最常用的成像方式。彩色多普勒图像显示出一种囊性结构,内部有呈“来来回回”模式的漩涡状血流。PSA 的治疗选择包括观察、超声引导下的聚焦压迫、凝血酶注射、开放手术修复和经皮栓塞。以下病例将讨论这些治疗选择的风险和益处。

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