Patel Ranjan, Tripathy Tara Prasad, Debbarma Ripan, Mohakud Sudipta, Mohanty Satyapriya, Bag Nerbadyswari Deep
Department of Radiodiagnosis, AIIMS, Bhubaneswar, India.
Department of CTVS, AIIMS, Bhubaneswar, India.
Acta Med Litu. 2023;30(1):80-85. doi: 10.15388/Amed.2023.30.1.9. Epub 2023 May 16.
Iatrogenic femoral artery pseudoaneurysms (IFAPs) are not uncommon due to the increase in various minimally-invasive endovascular procedures. Percutaneous thrombin injection is an established technique for large pseudoaneurysms. When ultrasound-guided compression of an aneurysmal neck is not feasible, percutaneous thrombin injection can be combined with endovascular balloon occlusion to prevent leakage of thrombin into the parent artery. We describe a large IFAP following the removal of the femoral dialysis catheter after an inadvertent arterial puncture, which was managed with percutaneous ultrasound-guided (USG) thrombin injection with simultaneous balloon occlusion at the level of the aneurysmal neck without any complications. Follow-up imaging showed thrombosed IFAP without any recurrence.
由于各种微创血管内手术的增加，医源性股动脉假性动脉瘤（IFAPs）并不罕见。经皮注射凝血酶是治疗大型假性动脉瘤的成熟技术。当超声引导下对动脉瘤颈部进行压迫不可行时，经皮注射凝血酶可与血管内球囊闭塞相结合，以防止凝血酶漏入母动脉。我们描述了1例在意外动脉穿刺后拔除股静脉透析导管后出现的大型IFAP，采用经皮超声引导（USG）注射凝血酶并同时在动脉瘤颈部水平进行球囊闭塞治疗，无任何并发症。随访影像学检查显示IFAP血栓形成，无复发。
