St Vincent Healthcare, Billings, Montana, USA.
NYU Langone Radiology, Garden City, New York, USA.
J Ultrasound Med. 2020 Jan;39(1):181-190. doi: 10.1002/jum.15082. Epub 2019 Jun 29.
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.
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。