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桡动脉假性动脉瘤并发慢性完全闭塞再通的远端桡动脉入路

Radial Artery Pseudoaneurysm Complicating Distal Transradial Access for Chronic Total Occlusion Recanalization.

作者信息

Gitto Mauro, Brizzi Stefano, Cozzi Ottavia, Gohar Aisha, Maurina Matteo, Spada Paolo, Mangieri Antonio, Reimers Bernhard, Gasparini Gabriele Luigi, Regazzoli Damiano

机构信息

Department of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy; Humanitas Research Hospital IRCCS, Rozzano-Milan, Italy.

Humanitas Research Hospital IRCCS, Rozzano-Milan, Italy.

出版信息

Cardiovasc Revasc Med. 2022 Jul;40S:279-281. doi: 10.1016/j.carrev.2022.02.019. Epub 2022 Feb 24.

DOI:10.1016/j.carrev.2022.02.019
PMID:35227631
Abstract

We report a case of a distal radial access (dRA) pseudoaneurysm complicating a chronic total occlusion (CTO) percutaneous coronary intervention (PCI). After hospital discharge, the patient developed progressive pain and swelling at the access site and ultrasound revealed a distal radial artery pseudoaneurysm. This completely resolved conservatively with manual compression. This case highlights a potential vascular complication of the recently introduced dRA with its conservative management.

摘要

我们报告了一例桡动脉远端入路（dRA）假性动脉瘤，它使慢性完全闭塞（CTO）经皮冠状动脉介入治疗（PCI）变得复杂。出院后，患者在入路部位出现进行性疼痛和肿胀，超声检查显示桡动脉远端假性动脉瘤。通过手法压迫，该假性动脉瘤完全保守治愈。本病例突出了最近引入的dRA潜在的血管并发症及其保守治疗方法。

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Radial Artery Pseudoaneurysm Complicating Distal Transradial Access for Chronic Total Occlusion Recanalization.桡动脉假性动脉瘤并发慢性完全闭塞再通的远端桡动脉入路
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引用本文的文献

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Left Distal Radial Artery Access-Site Pseudoaneurysm Treated With Open Surgical Repair.采用开放手术修复治疗左桡动脉远端穿刺部位假性动脉瘤
J Soc Cardiovasc Angiogr Interv. 2023 Jun 10;2(5):101047. doi: 10.1016/j.jscai.2023.101047. eCollection 2023 Sep-Oct.
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Application of ultrasound in cardiovascular intervention the distal radial artery approach: New wine in old bottles?超声在心血管介入中的应用——桡动脉远端入路：旧瓶装新酒？
Front Cardiovasc Med. 2022 Dec 15;9:1019053. doi: 10.3389/fcvm.2022.1019053. eCollection 2022.