Loh Eu Jhin, Allen Robert
Department of General Surgery, Calvary Mater Hospital, Waratah, NSW, Australia.
Department of Medical Imaging, The Canberra Hospital, Garran, ACT, Australia.
Indian J Radiol Imaging. 2019 Apr-Jun;29(2):211-214. doi: 10.4103/ijri.IJRI_332_18.
Iatrogenic common femoral artery pseudoaneurysm is a well-known vascular access complication of angiography and transfemoral intervention. Thrombin injection is a well-accepted technique in treating these pseudoaneurysms but possess a significant risk of distal lower extremity thrombosis leading to severe consequences. Several case reports described the novel approach to closing these pseudoaneurysms via a retrograde deployment of an Angio-Seal vascular closure device. We describe a case of a successful treatment of refractory iatrogenic femoral artery pseudoaneurysm using Amplatzer vascular plugs following unsuccessful retrograde deployment of an Angio-Seal vascular closure device.
医源性股总动脉假性动脉瘤是血管造影和经股动脉介入治疗中一种广为人知的血管通路并发症。凝血酶注射是治疗这些假性动脉瘤的一种广泛接受的技术,但存在导致下肢远端血栓形成的重大风险,可引发严重后果。几例病例报告描述了通过逆行部署Angio-Seal血管闭合装置来闭合这些假性动脉瘤的新方法。我们描述了一例在逆行部署Angio-Seal血管闭合装置失败后,使用Amplatzer血管封堵器成功治疗难治性医源性股动脉假性动脉瘤的病例。