Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Cardiology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
J Int Med Res. 2020 Aug;48(8):300060520947635. doi: 10.1177/0300060520947635.
Active bleeding from a small branch of the femoral artery can occur after catheterisation and may be difficult to treat. Stent-graft placement or embolisation after catheterisation can be a useful solution. However, stent-graft placement is often challenging for the treatment of bleeding around bifurcations, and it may be limited by available stent-graft sizes during emergencies. Embolisation can also be difficult if the vessel diameter is too small to catheterise or if the branching angle is too acute. Thrombin injection is accepted as a safe and effective treatment for iatrogenic or traumatic pseudoaneurysm. However, large haematomas can deter ultrasonographic guidance. We herein report the successful treatment of active bleeding from a small branch of the superficial femoral artery after femoral access by percutaneous direct puncture under angiographic guidance and thrombin injection at the bleeding focus.
经皮直接穿刺股动脉入路在血管造影引导下，对股浅动脉小分支出现的活动性出血行凝血酶注射治疗，成功止血。股动脉入路后可能会发生股动脉小分支的活动性出血，这种情况较难处理。股动脉入路后发生的出血可以通过支架置入或血管栓塞术来治疗，但分叉处的出血处理起来具有挑战性，而且在紧急情况下可能会受到可用支架大小的限制。如果血管直径太小无法进行导管插入，或者分支角度太锐，栓塞也可能很困难。凝血酶注射已被认为是治疗医源性或创伤性假性动脉瘤的一种安全有效的方法。然而，大血肿会妨碍超声引导。我们在此报告了在血管造影引导下经皮直接穿刺股动脉入路，对股浅动脉小分支出现的活动性出血，在出血部位行凝血酶注射治疗，取得了成功。
