经桡动脉途径行球囊辅助超声引导下经皮注射凝血酶治疗股动脉假性动脉瘤的有效性

Usefulness of Balloon-Assisted Ultrasound-Guided Percutaneous Thrombin Injection to Femoral Artery Pseudoaneurysm by Transradial Artery Approach.

作者信息

Watanabe Shingo, Masuda Ryo, Kawamoto Shiho, Usui Michio

机构信息

The Department of Cardiology, Tokyo Yamate Medical Center, 3-22-1 Hyakunincho, Shinjuku-ward, Tokyo 169-0063, Japan.

出版信息

Cardiovasc Revasc Med. 2023 Aug;53S:S207-S208. doi: 10.1016/j.carrev.2022.09.002. Epub 2022 Sep 8.

DOI:10.1016/j.carrev.2022.09.002

PMID:36137909

Abstract

Balloon-Assisted Ultrasound-Guided Percutaneous Thrombin Injection (BATI) is useful for iatrogenic pseudoaneurysm. In previous reports, BATI for pseudoaneurysm of the femoral artery was performed by contralateral transfemoral approach. It has been reported that patients with obesity, hypertension, and diabetes have more hemorrhagic complications at the puncture site of the femoral artery. We report a case in which BATI by transradial artery approach was useful for patients with obesity, hypertension, and diabetes who were expected to be at high risk of hemorrhagic complications of transfemoral artery approach.

摘要

球囊辅助超声引导下经皮注射凝血酶（BATI）对医源性假性动脉瘤有效。在以往的报道中，经股动脉途径对股动脉假性动脉瘤进行BATI操作。据报道，肥胖、高血压和糖尿病患者在股动脉穿刺部位发生出血并发症的情况更多。我们报告了1例经桡动脉途径进行BATI操作对预计经股动脉途径出血并发症风险较高的肥胖、高血压和糖尿病患者有效的病例。