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一名透析患者的静脉假性动脉瘤。

Venous pseudoaneurysm in a dialysis patient.

作者信息

Sternbach Sarah, Taggert John, Raible William, Sternbach Yaron, Ozsvath Kathleen

机构信息

Keck School of Medicine, University of Southern California, Los Angeles, CA.

Division of Vascular Surgery, Department of Surgery, St Peter's Health Partners, Troy, NY.

出版信息

J Vasc Surg Cases Innov Tech. 2024 May 25;10(5):101548. doi: 10.1016/j.jvscit.2024.101548. eCollection 2024 Oct.

DOI:10.1016/j.jvscit.2024.101548
PMID:39069992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11277363/
Abstract

We present a case of embolization for post-angioplasty pseudoaneurysm of the internal mammary vein. A 62-year-old male presented to the emergency department with right upper extremity edema. One month prior, he underwent angioplasty of right cephalic, subclavian, and innominate veins for similar symptoms but felt they had worsened. Computed tomography with intravenous contrast revealed pseudoaneurysm of the right internal mammary vein, and the patient was taken emergently to the operating room where embolization was successfully performed. Central venous pseudoaneurysm is a rare complication of angioplasty and the unique considerations of the anatomic region necessitate discussion of the optimal treatment modality.

摘要

我们报告一例因胸廓内静脉血管成形术后假性动脉瘤而行栓塞治疗的病例。一名62岁男性因右上肢水肿就诊于急诊科。一个月前，他因类似症状接受了右头静脉、锁骨下静脉和无名静脉的血管成形术，但感觉症状有所加重。静脉注射造影剂的计算机断层扫描显示右胸廓内静脉假性动脉瘤，患者被紧急送往手术室并成功进行了栓塞治疗。中心静脉假性动脉瘤是血管成形术的一种罕见并发症，由于该解剖区域的特殊考虑因素，有必要讨论最佳治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/716e/11277363/906ce357d091/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/716e/11277363/ad6a87336d96/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/716e/11277363/2e87dfe49843/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/716e/11277363/906ce357d091/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/716e/11277363/ad6a87336d96/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/716e/11277363/2e87dfe49843/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/716e/11277363/906ce357d091/gr3.jpg

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本文引用的文献

1
Rare Complications of Pseudoaneurysms of the Superior Vena Cava After Transvenous Lead Extraction.经静脉导线拔除术后上腔静脉假性动脉瘤的罕见并发症
JACC Case Rep. 2022 Apr 6;4(7):443-448. doi: 10.1016/j.jaccas.2022.03.001.
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Management of Central Venous Stenosis and Occlusion in Dialysis Patients.透析患者中心静脉狭窄和闭塞的管理
Semin Intervent Radiol. 2022 Feb 18;39(1):51-55. doi: 10.1055/s-0041-1742152. eCollection 2022 Feb.
3
Pseudoaneurysm Development after Drug-Eluting Balloon (DEB) Angioplasty of a Venous Femoropopliteal Bypass Graft.
药物洗脱球囊（DEB）血管成形术后假性动脉瘤的发展。
Ann Vasc Surg. 2021 Apr;72:665.e5-665.e8. doi: 10.1016/j.avsg.2020.10.011. Epub 2020 Nov 21.
4
Comparison of Percutaneous Transluminal Angioplasty with Stenting for Treatment of Central Venous Stenosis or Occlusion in Hemodialysis Patients: A Systematic Review and Meta-analysis.经皮腔内血管成形术与支架置入治疗血液透析患者中心静脉狭窄或闭塞的比较：系统评价和荟萃分析。
Cardiovasc Intervent Radiol. 2020 Apr;43(4):525-540. doi: 10.1007/s00270-019-02383-7. Epub 2020 Jan 3.
5
Central venous catheterization-induced right brachiocephalic vein pseudoaneurysm: Successfully treated with stent-assisted coiling.中心静脉置管引起的右头臂静脉假性动脉瘤：支架辅助弹簧圈栓塞成功治疗
J Vasc Access. 2018 May;19(3):319-323. doi: 10.1177/1129729817746581. Epub 2018 Mar 14.
6
Treatment for femoral pseudoaneurysms.股动脉假性动脉瘤的治疗。
Cochrane Database Syst Rev. 2013 Nov 29;2013(11):CD004981. doi: 10.1002/14651858.CD004981.pub4.
7
A rare case of iatrogenic pseudoaneurysm of the left brachiocephalic vein after central venous catheterization treated with thrombin injection.1例经凝血酶注射治疗的中心静脉置管后左头臂静脉医源性假性动脉瘤罕见病例。
Cardiovasc Intervent Radiol. 2014 Aug;37(4):1083-6. doi: 10.1007/s00270-013-0729-5. Epub 2013 Sep 17.
8
A "blush sign": radiological harbinger of delayed pseudoaneurysm formation after vein graft angioplasty.“红晕征”：静脉移植血管血管成形术后延迟性假性动脉瘤形成的影像学先兆
Vasc Endovascular Surg. 2013 Nov;47(8):656-9. doi: 10.1177/1538574413500537. Epub 2013 Aug 12.
9
Central venous obstruction management.中心静脉阻塞的管理。
Semin Intervent Radiol. 2009 Jun;26(2):115-21. doi: 10.1055/s-0029-1222454.
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An unusual case of pseudoaneurysm of the left brachiocephalic vein secondary to rupture during central venous catheterization treated with self-expanding, uncovered stent and coils.1例罕见的左头臂静脉假性动脉瘤，继发于中心静脉置管时破裂，采用自膨式裸支架和弹簧圈治疗。
Clin Radiol. 2011 Jan;66(1):89-92. doi: 10.1016/j.crad.2010.07.009. Epub 2010 Oct 18.