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机械取栓术并发肺动脉假性动脉瘤的血管内注射凝血酶治疗

Mechanical Thrombectomy Complicated by Pulmonary Artery Pseudoaneurysm Treated With Endovascular Thrombin Injection.

作者信息

So Alexandra, Krauthamer Richard

机构信息

Department of Medicine, University of California San Francisco, San Francisco, USA.

Department of Radiology, Torrance Memorial Medical Center, Torrance, USA.

出版信息

Cureus. 2024 Jul 2;16(7):e63688. doi: 10.7759/cureus.63688. eCollection 2024 Jul.

Abstract

Pulmonary thrombectomy for acute pulmonary arterial embolism has emerged as an effective endovascular therapy for high-risk patients. While the procedure is typically performed safely and efficaciously, given the nature of the treatment, complications may rarely occur. Pulmonary pseudoaneurysm is a rare condition occurring in a variety of settings, including pulmonary thrombectomy. To our knowledge, we present the first published case of pulmonary artery pseudoaneurysm following percutaneous thrombectomy, along with its successful endovascular management.

摘要

对于急性肺动脉栓塞患者,肺动脉血栓切除术已成为一种有效的血管内治疗方法,适用于高危患者。虽然该手术通常能安全有效地进行,但鉴于治疗的性质,仍可能极少发生并发症。肺假性动脉瘤是一种在多种情况下出现的罕见病症,包括肺动脉血栓切除术中。据我们所知,我们报告了首例经皮血栓切除术后发生肺动脉假性动脉瘤的病例,并成功进行了血管内治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/b53df1cebfdd/cureus-0016-00000063688-i01.jpg

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