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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.

DOI:10.7759/cureus.63688
PMID:39092358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11293791/
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/f53e15daf6a0/cureus-0016-00000063688-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/b53df1cebfdd/cureus-0016-00000063688-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/fd6908292879/cureus-0016-00000063688-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/92ffa925f84e/cureus-0016-00000063688-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/81772f5bc9cb/cureus-0016-00000063688-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/0342d66d60b1/cureus-0016-00000063688-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/f53e15daf6a0/cureus-0016-00000063688-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/b53df1cebfdd/cureus-0016-00000063688-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/fd6908292879/cureus-0016-00000063688-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/92ffa925f84e/cureus-0016-00000063688-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/81772f5bc9cb/cureus-0016-00000063688-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/0342d66d60b1/cureus-0016-00000063688-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9479/11293791/f53e15daf6a0/cureus-0016-00000063688-i06.jpg

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本文引用的文献

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Infectious Pulmonary Artery Pseudoaneurysm Secondary to a Lung Abscess Treated With Pulmonary Artery Coil Embolization: A Case Report.肺脓肿继发感染性肺动脉假性动脉瘤经肺动脉线圈栓塞治疗：一例报告
Cureus. 2024 Mar 7;16(3):e55762. doi: 10.7759/cureus.55762. eCollection 2024 Mar.
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Pulmonary artery pseudoaneurysms: a single-center experience of endovascular occlusion.肺动脉假性动脉瘤：单中心血管内闭塞经验
CVIR Endovasc. 2023 Dec 2;6(1):60. doi: 10.1186/s42155-023-00411-9.
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Endovascular treatment for massive haemoptysis due to pulmonary pseudoaneurysm: report of 23 cases.
血管内治疗肺假性动脉瘤所致大咯血：23 例报告。
J Cardiothorac Surg. 2023 Aug 14;18(1):244. doi: 10.1186/s13019-023-02346-7.
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Pulmonary Artery Pseudoaneurysms Embolization: Bicentric Experience and Review of the Literature.肺动脉假性动脉瘤栓塞术：双中心经验及文献综述
J Clin Med. 2023 May 31;12(11):3796. doi: 10.3390/jcm12113796.
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Interventional therapies for pulmonary embolism.肺栓塞的介入治疗。
Nat Rev Cardiol. 2023 Oct;20(10):670-684. doi: 10.1038/s41569-023-00876-0. Epub 2023 May 12.
6
Ruptured pulmonary artery pseudoaneurysm treated with stent graft: case report and literature review.覆膜支架治疗破裂性肺动脉假性动脉瘤：病例报告及文献复习
CVIR Endovasc. 2022 Nov 22;5(1):59. doi: 10.1186/s42155-022-00339-6.
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Ultrasound-facilitated, catheter-directed thrombolysis vs anticoagulation alone for acute intermediate-high-risk pulmonary embolism: Rationale and design of the HI-PEITHO study.超声引导下经导管溶栓与单纯抗凝治疗急性中高危肺栓塞的比较：HI-PEITHO 研究的原理和设计。
Am Heart J. 2022 Sep;251:43-53. doi: 10.1016/j.ahj.2022.05.011. Epub 2022 May 16.
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Endovascular Repair of an Iatrogenic Pulmonary Artery Pseudoaneurysm.医源性肺动脉假性动脉瘤的血管内修复术。
JACC Case Rep. 2022 May 4;4(9):564-566. doi: 10.1016/j.jaccas.2022.03.016.
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