Alqahtani Nasser G
Department of Internal Medicine, Cardiology Section College of Medicine, King Khalid University Abha Saudi Arabia.
Clin Case Rep. 2024 Mar 29;12(4):e8725. doi: 10.1002/ccr3.8725. eCollection 2024 Apr.
This is a case of 83 years old male who had radial artery pseudoaneurysm after cardiac catheterization. The diagnosis was through Doppler ultrasound and the patient was treated with thrombin injection and reported good outcomes. The literature also included 41 cases of pseudoaneurysm after catheterization. The mean age of patients was 68.5 years with a male prevalence of 49%. Onset of pseudoaneurysm ranged from 0 days (directly after the catheterization) to 150 days with a median of 5 days. The treatment of patients was mainly surgical (19 cases) followed by compression (either manual or TR band) (12 cases), thrombin injection (four cases), compression then surgery (three cases), compression then thrombin injection (one case), percutaneous endovascular repair using a covered stent (one case) and not reported in one case. All cases recovered well.
这是一例83岁男性患者，其在心脏导管插入术后出现桡动脉假性动脉瘤。通过多普勒超声进行诊断，该患者接受了凝血酶注射治疗，报告显示预后良好。文献中还包括41例导管插入术后假性动脉瘤病例。患者的平均年龄为68.5岁，男性患病率为49%。假性动脉瘤的发病时间从0天（导管插入术后立即出现）至150天不等，中位数为5天。患者的治疗主要为手术治疗（19例），其次是压迫治疗（手动或使用TR束带）（12例）、凝血酶注射（4例）、先压迫后手术（3例）、先压迫后凝血酶注射（1例）、使用覆膜支架进行经皮血管腔内修复（1例），1例未报告治疗情况。所有病例恢复良好。
