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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.

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/c8eecfa768b2/10.1177_11297298221130895-fig1.jpg

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