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在逆行使用Angio-Seal封堵失败后，使用Amplatzer血管塞对难治性医源性股动脉假性动脉瘤进行血管内治疗。

Endovascular treatment of refractory iatrogenic femoral artery pseudoaneurysm using Amplatzer vascular plugs following unsuccessful retrograde Angio-Seal deployment.

作者信息

Loh Eu Jhin, Allen Robert

机构信息

Department of General Surgery, Calvary Mater Hospital, Waratah, NSW, Australia.

Department of Medical Imaging, The Canberra Hospital, Garran, ACT, Australia.

出版信息

Indian J Radiol Imaging. 2019 Apr-Jun;29(2):211-214. doi: 10.4103/ijri.IJRI_332_18.

DOI:10.4103/ijri.IJRI_332_18
PMID:31367094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6639869/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a2/6639869/d9454fad99be/IJRI-29-211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a2/6639869/574708477462/IJRI-29-211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a2/6639869/d9454fad99be/IJRI-29-211-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a2/6639869/574708477462/IJRI-29-211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a2/6639869/d9454fad99be/IJRI-29-211-g002.jpg

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2
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JACC Cardiovasc Interv. 2016 Mar 28;9(6):e55-7. doi: 10.1016/j.jcin.2015.12.265. Epub 2016 Mar 2.
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Ultrasound-guided compression repair of peripheral artery pseudoaneurysm: 8 years' experience of a single institute.
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