经桡动脉途径的一种并发症：伴血胸的甲状腺颈干假性动脉瘤。
A complication of the transradial approach: thyrocervical trunk pseudoaneurysm with hemothorax.
作者信息
El Naamani Kareem, Abbas Rawad, Sioutas Georgios S, Amllay Abdelaziz, Tjoumakaris Stavropoula, Gooch Michael R, Rosenwasser Robert H, Jabbour Pascal
机构信息
Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
出版信息
BJR Case Rep. 2023 May 3;9(3):20220136. doi: 10.1259/bjrcr.20220136. eCollection 2023 May.
The transradial approach has gained popularity in the neuroendovascular field after several studies proved its low rate of hemorrhagic and vascular-related complications in both diagnostic and therapeutic procedures. This is a case of a patient who presented for flow diversion treatment of an incidental left carotid ophthalmic aneurysm. The procedure was uneventful. Post-operatively, the patient's neurological exam and vital signs were normal, however the patient complained of abdominal and chest pain that worsened when lying down and improved when sitting up. Radiologic diagnosis confirmed the presence of a thyrocervical trunk pseudoaneurysm which was completely obliterated with Onyx 18 embolization. Thyrocervical trunk pseudoaneurysm formation is a rare complication of the transradial approach. Shedding the light on these entities is essential as symptoms vary in severity and presentation and necessitate swift diagnosis and treatment.
在多项研究证明经桡动脉途径在诊断和治疗操作中出血及血管相关并发症发生率较低后，该途径在神经血管内介入领域已越来越受欢迎。本文报告一例因偶然发现的左侧颈内动脉眼动脉瘤而接受血流导向治疗的患者。手术过程顺利。术后，患者神经学检查及生命体征正常，但患者主诉腹部和胸部疼痛，平卧时加重，坐起时缓解。影像学诊断证实存在甲状腺颈干假性动脉瘤，通过使用Onyx 18进行栓塞，该假性动脉瘤完全闭塞。甲状腺颈干假性动脉瘤形成是经桡动脉途径的一种罕见并发症。了解这些情况至关重要，因为其症状的严重程度和表现各不相同，需要迅速诊断和治疗。
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