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使用血管闭合装置失去入路后对股总动脉穿刺部位进行血管腔内修复。

Endovascular repair of a common femoral artery puncture after losing access using a vascular closure device.

作者信息

Reddy Vamsi, Todnem Nathan, Franco-Mesa Camila, Erben Young, Tawk Rabih G, Ritchie Charles

机构信息

School of Medicine, Medical College of Georgia, Augusta, Ga.

Department of Neurosurgery, Baptist Health Medical Group, Louisville, Ky.

出版信息

J Vasc Surg Cases Innov Tech. 2021 May 21;7(3):466-468. doi: 10.1016/j.jvscit.2021.04.026. eCollection 2021 Sep.

DOI:10.1016/j.jvscit.2021.04.026
PMID:34258485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8259393/
Abstract

We present a case of a common femoral artery repair after losing access to the vessel in a 67-year-old woman using a Mynx-Grip vascular closure device. The hematoma over the right common femoral artery was accessed under fluoroscopic guidance. Then, the balloon of the closure device was inflated inside the artery and pulled back against the origin of the puncture site into the common femoral artery. Finally, the collagen plug was deployed and pressed against the outside of the vessel to occlude the puncture site.

摘要

我们报告了一例67岁女性在无法再进入股总动脉后，使用Mynx-Grip血管闭合装置进行股总动脉修复的病例。在透视引导下进入右股总动脉上方的血肿。然后，将闭合装置的球囊在动脉内充气，并逆着穿刺部位的起始点拉回股总动脉。最后，展开胶原蛋白栓塞并压在血管外部以封闭穿刺部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428c/8259393/233bf17f0f58/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428c/8259393/d084adb22d75/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428c/8259393/233bf17f0f58/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428c/8259393/d084adb22d75/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428c/8259393/233bf17f0f58/gr2.jpg

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本文引用的文献

1
Comparison of Frequency of Vascular Complications With Ultrasound-Guided Versus Fluroscopic Roadmap-Guided Femoral Arterial Access in Patients Who Underwent Transcatheter Aortic Valve Implantation.经导管主动脉瓣置换术患者超声引导与荧光透视路图引导股动脉入路血管并发症发生率比较。
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Routine Ultrasound or Fluoroscopy Use and Risk of Vascular/Bleeding Complications After Transfemoral TAVR.经股动脉 TAVR 后常规超声或透视的使用与血管/出血并发症风险
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Ultrasound-Guided Fibrin Glue Injection for Treatment of Iatrogenic Femoral Pseudoaneurysms.
超声引导下注射纤维蛋白胶治疗医源性股动脉假性动脉瘤
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Endovascular management of femoral access-site and access-related vascular complications following percutaneous coronary interventions (PCI).经皮冠状动脉介入治疗（PCI）后股动脉入路部位及相关血管并发症的血管内处理。
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An Iatrogenic Femoral Artery Pseudoaneurysm Caused by Endovascular Stenting for the Treatment of Anastomotic Stenosis: An Unusual Complication and its Successful Surgical Management.血管内支架置入术治疗吻合口狭窄导致医源性股动脉假性动脉瘤：一种罕见并发症及其成功的外科治疗
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Mynx Vascular Closure Device in Arterial Endovascular Procedures.用于动脉血管内手术的Mynx血管闭合装置
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7
Treatment of a recurrent false aneurysm of the femoral artery by stent--graft placement from the brachial artery.经肱动脉置入支架型人工血管治疗股动脉复发性假性动脉瘤
Ann Vasc Surg. 2011 Aug;25(6):841.e1-4. doi: 10.1016/j.avsg.2011.01.010. Epub 2011 May 28.
8
Vascular complications after percutaneous coronary intervention following hemostasis with the Mynx vascular closure device versus the AngioSeal vascular closure device.使用Mynx血管闭合装置与AngioSeal血管闭合装置止血后经皮冠状动脉介入治疗的血管并发症
J Invasive Cardiol. 2010 Apr;22(4):175-8.
9
Current treatment methods for postcatheterization pseudoaneurysms.导管插入术后假性动脉瘤的当前治疗方法。
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10
Obliteration of femoral pseudoaneurysm complicating coronary intervention by direct puncture and permanent or removable coil insertion.通过直接穿刺和置入永久性或可移除线圈来闭塞股动脉假性动脉瘤，这是冠状动脉介入治疗的并发症。
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