高出血风险患者经桡动脉冠状动脉导管插入术后出现两种不同类型假性动脉瘤的发生与治疗：一例报告
Development and treatment of two distinct pseudoaneurysms following transradial coronary catheterization in a patient with high bleeding risk: a case report.
作者信息
Wu Lingling, Haddadin Faris, Berookhim Joshua, Ratcliffe Justin, Puma Joseph
机构信息
Department of Medicine, Mount Sinai St. Luke's and Mount Sinai West Hospital, 1111 Amsterdam Ave, New York, NY, 10025, USA.
Mount Sinai Heart, Mount Sinai St. Luke's and Mount Sinai West Hospital, 1111 Amsterdam Ave, New York, 10025, NY, USA.
出版信息
J Med Case Rep. 2019 Sep 8;13(1):282. doi: 10.1186/s13256-019-2205-6.
BACKGROUND
A pseudoaneurysm is a rare but serious complication after transradial coronary catheterization. Although different treatment modalities have been proposed to treat post-catheterization pseudoaneurysm, only limited data are available to guide the treatment approach.
CASE PRESENTATION
We report a rare case of two distinct pseudoaneurysms complicating transradial percutaneous coronary intervention in a 75-year-old Hispanic woman being treated with dual antiplatelet agents for myocardial infarction and warfarin for atrial fibrillation. The pseudoaneurysms were diagnosed with ultrasound and were successfully treated with a series of Terumo Corporation (TR) band compressions.
CONCLUSIONS
This case demonstrates the efficacy of compression therapy in managing post-catheterization radial artery pseudoaneurysm in patients with high bleeding risk.
背景
假性动脉瘤是经桡动脉冠状动脉导管插入术后一种罕见但严重的并发症。尽管已提出不同的治疗方式来治疗导管插入术后假性动脉瘤，但仅有有限的数据可用于指导治疗方法。
病例报告
我们报告了一例罕见病例，一名75岁的西班牙裔女性在接受经桡动脉经皮冠状动脉介入治疗时出现两个不同的假性动脉瘤，该患者因心肌梗死接受双联抗血小板药物治疗，因心房颤动接受华法林治疗。通过超声诊断出假性动脉瘤，并通过一系列泰尔茂公司（TR）的绷带压迫成功进行了治疗。
结论
本病例证明了压迫疗法在管理高出血风险患者导管插入术后桡动脉假性动脉瘤方面的有效性。
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