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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.

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/ad6a87336d96/gr1.jpg

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