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超声引导下应用缝合器介导的血管闭合装置治疗意外行血液透析导管置管后股动脉假性动脉瘤

Ultrasonography-guided endovascular management of femoral artery pseudoaneurysm after unintended dialysis catheterization with suture-mediated vascular closure devices.

机构信息

Division of Vascular and Tranplant Surgery, Department of Surgery, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Department of Radiology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

J Vasc Access. 2024 Nov;25(6):2031-2035. doi: 10.1177/11297298221130895. Epub 2022 Oct 19.

DOI:10.1177/11297298221130895
PMID:36262020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11539508/
Abstract

Although iatrogenic pseudoaneurysm is an infrequent complication, it can be life threatening if ruptured. There are several treatment methods for managing this complication. This case report demonstrates a technique using ultrasonography-guided suture-mediated vascular closure devices without angiography to successfully treat iatrogenic superficial femoral pseudoaneurysm following an unintended hemodialysis catheter insertion. In particular, when it is difficult to use a contrast due to a patient's condition as in this case, suture-mediated vascular closure device with ultrasonography guidance can be used as a therapeutic method.

摘要

虽然医源性假性动脉瘤是一种罕见的并发症，但如果破裂，可能会危及生命。有几种治疗方法可以处理这种并发症。本病例报告展示了一种在超声引导下使用缝合介导的血管闭合装置而无需血管造影成功治疗意外血液透析导管插入后股浅假性动脉瘤的技术。特别是在像本例这样由于患者病情难以使用造影剂的情况下，超声引导下的缝合介导的血管闭合装置可作为一种治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/b519074439e1/10.1177_11297298221130895-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/c8eecfa768b2/10.1177_11297298221130895-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/b6e65367f336/10.1177_11297298221130895-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/4b4ef8d747ee/10.1177_11297298221130895-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/e6abf0197cd4/10.1177_11297298221130895-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/7640d6dd14ea/10.1177_11297298221130895-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/b519074439e1/10.1177_11297298221130895-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/c8eecfa768b2/10.1177_11297298221130895-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/b6e65367f336/10.1177_11297298221130895-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/4b4ef8d747ee/10.1177_11297298221130895-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/e6abf0197cd4/10.1177_11297298221130895-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/7640d6dd14ea/10.1177_11297298221130895-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367f/11539508/b519074439e1/10.1177_11297298221130895-fig6.jpg

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本文引用的文献

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Incidence of and predisposing factors for pseudoaneurysm formation in a high-volume cardiovascular center.高容量心血管中心假性动脉瘤形成的发生率及易患因素。
PLoS One. 2021 Aug 24;16(8):e0256317. doi: 10.1371/journal.pone.0256317. eCollection 2021.
2
Amplatzer device closure of femoral pseudoaneurysm after transcatheter aortic valve implantation: An alternative to surgical repair.经导管主动脉瓣置换术后股假性动脉瘤应用 Amplatzer 装置封堵治疗：一种替代手术修复的方法。
Catheter Cardiovasc Interv. 2021 Jun 1;97(7):E967-E972. doi: 10.1002/ccd.29424. Epub 2020 Dec 22.
3
Could real-time ultrasonography guidance be useful for the effective deployment of FemoSeal in common femoral arteriotomy?
实时超声引导对FemoSeal在股总动脉切开术中的有效应用是否有用？
Ultrasonography. 2021 Jul;40(3):449-454. doi: 10.14366/usg.20127. Epub 2020 Oct 24.
4
Contrast-enhanced ultrasound-guided thrombin injection in the management of iatrogenic pseudoaneurysm (PSA): A case report and review of literatures.超声造影引导下凝血酶注射治疗医源性假性动脉瘤（PSA）：病例报告及文献复习。
Clin Hemorheol Microcirc. 2020;76(4):549-557. doi: 10.3233/CH-200923.
5
Percutaneous suture technique with ProGlide to manage vascular access pseudoaneurysm after percutaneous coronary intervention procedure: A case report.使用ProGlide经皮缝合技术处理经皮冠状动脉介入术后血管穿刺部位假性动脉瘤：一例报告
Chin J Traumatol. 2020 Feb;23(1):34-37. doi: 10.1016/j.cjtee.2019.11.002. Epub 2019 Dec 18.
6
Management trends for postcatheterization femoral artery pseudoaneurysms.导管插入术后股动脉假性动脉瘤的管理趋势
JAAPA. 2019 Jun;32(6):15-18. doi: 10.1097/01.JAA.0000558236.60240.02.
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Off-label use of Angio-Seal vascular closure device for the repair of femoral pseudoaneurysm after transfemoral coronary intervention.经股动脉冠状动脉介入术后使用血管封堵器（Angio-Seal）非适应证治疗股动脉假性动脉瘤。
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8
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