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尺动脉浅支假性动脉瘤

Superficial ulnar artery pseudoaneurysm.

作者信息

França Mariana Jordão, Takahashi Luciana Akemi, França Graciliano José, Carvalho Claudio Augusto, Nissel Maria Alice Zarate

机构信息

Universidade Positivo - UP, Curitiba, PR, Brasil.

Universidade Federal do Paraná - UFPR, Hospital de Clínicas, Curitiba, PR, Brasil.

出版信息

J Vasc Bras. 2023 Dec 4;22:e20230047. doi: 10.1590/1677-5449.202300472. eCollection 2023.

DOI:10.1590/1677-5449.202300472
PMID:38076585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10706089/
Abstract

The ulnar artery is the larger terminal branch of the brachial artery. It originates in the cubital fossa and is covered by the flexor muscles of the forearm. We report an anatomic variant in which the ulnar artery was in a superficial position in the forearm. Since this variant was unknown, an attempted venous puncture injured the artery, causing formation of a pseudoaneurysm.

摘要

尺动脉是肱动脉较大的终末分支。它起自肘窝，被前臂的屈肌覆盖。我们报告了一种解剖变异情况，即尺动脉在前臂处于浅表位置。由于这种变异不为人知，一次静脉穿刺尝试损伤了该动脉，导致假性动脉瘤形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/f190a5d22d30/jvb-22-e20230047-g12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/7b75cca4694b/jvb-22-e20230047-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/1e9e01bea09a/jvb-22-e20230047-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/a42c4a5039aa/jvb-22-e20230047-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/a006e5ebe5fa/jvb-22-e20230047-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/7be30be3f9c5/jvb-22-e20230047-g05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/1dd45d050ca6/jvb-22-e20230047-g06-en.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/1e9e01bea09a/jvb-22-e20230047-g02-en.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/68d5bd02df61/jvb-22-e20230047-g07-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/f7b608933511/jvb-22-e20230047-g08-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/6bd39b9be3a5/jvb-22-e20230047-g09-en.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/3b302362be0b/jvb-22-e20230047-g11-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/f190a5d22d30/jvb-22-e20230047-g12-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/7b75cca4694b/jvb-22-e20230047-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/b348b359c4f3/jvb-22-e20230047-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/d2966da7f2c5/jvb-22-e20230047-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/2bd4ab7c8c46/jvb-22-e20230047-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/ed7c23f97bff/jvb-22-e20230047-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/1dd45d050ca6/jvb-22-e20230047-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/68d5bd02df61/jvb-22-e20230047-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/f7b608933511/jvb-22-e20230047-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/6bd39b9be3a5/jvb-22-e20230047-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/aaa4bbdda19e/jvb-22-e20230047-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/3b302362be0b/jvb-22-e20230047-g11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5308/10706089/f190a5d22d30/jvb-22-e20230047-g12.jpg

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本文引用的文献

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Pseudoaneurysm of high origin ulnar artery after penetrating trauma.
Vasc Endovascular Surg. 2010 Oct;44(7):609-12. doi: 10.1177/1538574410373664. Epub 2010 Jul 30.
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High origin of ulnar artery in South Indian male cadaver: a case report.
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The superficial ulnar artery with reference to accidental intra-arterial injection.尺侧浅动脉与意外动脉内注射的关系。
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A rare variant of the superficial ulnar artery, and its clinical implications: a case report.
尺动脉浅支的一种罕见变异及其临床意义：一例报告
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The superficial ulnar artery: incidence and calibre in 95 cadaveric specimens.尺侧浅动脉：95例尸体标本中的发生率及管径
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Superficial ulnar artery: curse or blessing in harvesting fasciocutaneous forearm flaps.尺侧浅动脉：前臂筋膜皮瓣切取中的祸根还是福音。
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Pseudoaneurysms and the role of minimally invasive techniques in their management.假性动脉瘤以及微创技术在其治疗中的作用。
Radiographics. 2005 Oct;25 Suppl 1:S173-89. doi: 10.1148/rg.25si055503.
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The superficial ulnar artery--a potential hazard in patients with difficult venous access.尺侧浅动脉——静脉穿刺困难患者的潜在风险。
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The incidence of a superficial arterial pattern in the human upper extremities.人类上肢浅表动脉模式的发生率。
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