DiBartolomeo Alexander D, Titus Jessica M, Engstrom Bjorn I, Stephenson Elliot J
University of Minnesota Medical School, Minneapolis, Minn.
Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minn.
J Vasc Surg Cases Innov Tech. 2020 Mar 3;6(1):143-146. doi: 10.1016/j.jvscit.2020.01.007. eCollection 2020 Mar.
Retroperitoneal hematoma is a potential complication of femoral venous access that rarely leads to bilateral ureteral obstruction. We present the case of a 73-year-old woman who underwent an ablation procedure for atrial fibrillation complicated by laceration of an aberrant obturator artery during femoral venous cannulation, leading to a compressive retroperitoneal hematoma, bilateral ureteral obstruction, acute renal failure, and renal forniceal rupture. The patient was successfully treated with embolization of the inferior epigastric artery and aberrant obturator artery, hematoma evacuation, and ureteral stent placement. This case illustrates a rare complication of arterial laceration during femoral venous access without ultrasound guidance.
腹膜后血肿是股静脉穿刺的一种潜在并发症，很少导致双侧输尿管梗阻。我们报告一例73岁女性患者，其因心房颤动接受消融手术，在股静脉插管过程中并发异常闭孔动脉撕裂，导致压迫性腹膜后血肿、双侧输尿管梗阻、急性肾衰竭和肾穹窿破裂。患者通过腹壁下动脉和异常闭孔动脉栓塞、血肿清除及输尿管支架置入成功得到治疗。该病例说明了在无超声引导下股静脉穿刺时动脉撕裂的一种罕见并发症。
