Mitchell D G, Needleman L, Bezzi M, Goldberg B B, Kurtz A B, Pennell R G, Rifkin M D, Vilaro M, Baltarowich O H
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
Radiology. 1987 Dec;165(3):687-90. doi: 10.1148/radiology.165.3.3317501.
Three patients with clinically suspected pseudoaneurysm as a complication of femoral puncture were referred for ultrasound (US) evaluation with both conventional duplex Doppler US and color Doppler imaging. Pseudoaneurysm (n = 2) and simple hematoma (n = 2) were depicted with both Doppler systems, and a separate pseudoaneurysm and a hematoma were found in one patient. These diagnoses were confirmed surgically. Distinctive Doppler spectral waveforms and color Doppler findings enabled confident diagnoses. Color Doppler imaging allowed faster detection of intraaneurysmal flow, and the track between the injured artery and the pseudoaneurysm was identified only with color Doppler imaging. Duplex Doppler US with color Doppler imaging allows for the rapid, unequivocal diagnosis of pseudoaneurysm, thus enabling prompt treatment without the need for invasive diagnostic modalities.
三名临床上怀疑为股动脉穿刺并发症所致假性动脉瘤的患者接受了超声（US）评估，采用了传统双功多普勒超声和彩色多普勒成像。两种多普勒系统均显示出假性动脉瘤（n = 2）和单纯血肿（n = 2），且在一名患者中发现了一个单独的假性动脉瘤和一个血肿。这些诊断经手术证实。独特的多普勒频谱波形和彩色多普勒表现有助于做出可靠的诊断。彩色多普勒成像能够更快地检测到动脉瘤内血流，且仅通过彩色多普勒成像才能识别受损动脉与假性动脉瘤之间的通道。带有彩色多普勒成像的双功多普勒超声能够快速、明确地诊断假性动脉瘤，从而无需进行侵入性诊断方法即可及时进行治疗。
