Faculty of Medicine, Department of Pediatrics, Division of Pediatric Cardiology, Koç University, İstanbul, Turkey.
Faculty of Medicine, Department of Cardiovascular Surgery, Division of Pediatric Cardiovascular Surgery, Koç University, İstanbul, Turkey.
Cardiol Young. 2023 Aug;33(8):1436-1439. doi: 10.1017/S1047951122003997. Epub 2023 Jan 5.
The carotid artery is a valuable vascular access that can be used in patients who have undergone repetitive interventional and surgical procedures and premature babies. In the past, cut-down was used but nowadays, mostly the procedure is performed under ultrasonographic guidance. Complications such as bleeding, haematoma, and pseudoaneurysm may occur when the carotid artery is used as a vascular access for the procedures such as aortic balloon valvuloplasty, coarctation balloon angioplasty, or after interventional or surgical treatments to the carotid artery. Although pseudoaneurysm is very rare, prompt diagnosis and accurate treatment planning are life-saving. In this article, the diagnosis and treatment of pseudoaneurysm in the left common carotid after transcatheter coarctation balloon angioplasty in a 6-month-old infant will be presented.
颈动脉是一种有价值的血管通路，可用于已经接受过多次介入和手术治疗的患者以及早产儿。过去常采用切开法，但现在，大多数情况下该手术都是在超声引导下进行的。当颈动脉被用作主动脉球囊瓣膜成形术、缩窄球囊血管成形术或颈动脉介入或手术治疗后的血管通路时，可能会发生出血、血肿和假性动脉瘤等并发症。虽然假性动脉瘤非常罕见，但及时诊断和准确的治疗计划是挽救生命的关键。本文将介绍一例 6 个月大婴儿经导管缩窄球囊血管成形术后左侧颈总动脉假性动脉瘤的诊断和治疗。
