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病例报告:使用血管缝合器成功有效地经皮闭合股深动脉假性动脉瘤。

Case report: Successful and effective percutaneous closure of a deep femoral artery pseudoaneurysm using proglide device.

作者信息

Jiaxin Liu, Yan Li, Sheng Zhang, Zhiyi Dong, Jichang Wang, Shaoying Lu

机构信息

Department of Vascular Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Department of General Surgery, Children's Hospital of Xi'an Jiaotong University, Xi'an, China.

出版信息

Front Surg. 2023 Mar 31;10:1109243. doi: 10.3389/fsurg.2023.1109243. eCollection 2023.

DOI:10.3389/fsurg.2023.1109243
PMID:37066014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10102390/
Abstract

A 61-year-old man developed severe swelling in the left lower extremity after interventional embolization of liver tumor. Ultrasound examination showed a pseudoaneurysm and thrombosis in the upper thigh on the left. To recognize the causes and determine the effective therapy, lower extremity arteriography was performed. The results revealed a pseudoaneurysm arised from deep femoral artery. Considering of the size of cavity and symptoms of patient, a new method was tried instead of traditional treatment using PROGLIDE device. Postoperative angiography showed a powerful blocking effect. This case study provide us a specific treatment for pseudoaneurysm, and this method provide us a new therapeutic strategy in clinical practice.

摘要

一名61岁男性在肝肿瘤介入栓塞术后出现左下肢严重肿胀。超声检查显示左大腿上部有假性动脉瘤和血栓形成。为明确病因并确定有效治疗方法,进行了下肢动脉造影。结果显示假性动脉瘤起源于股深动脉。考虑到瘤腔大小及患者症状,尝试了一种新方法而非使用PROGLIDE装置的传统治疗方法。术后血管造影显示封堵效果良好。该病例研究为我们提供了一种针对假性动脉瘤的具体治疗方法,且此方法为临床实践提供了一种新的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02cb/10102390/11cd5fc72efa/fsurg-10-1109243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02cb/10102390/11cd5fc72efa/fsurg-10-1109243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02cb/10102390/11cd5fc72efa/fsurg-10-1109243-g001.jpg

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本文引用的文献

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Median nerve compression caused by superficial brachial artery: an unusual clinical case.正中神经受压由浅表肱动脉:一个不寻常的临床病例。
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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
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