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球囊辅助凝血酶注射治疗长而宽颈的医源性股总动脉假性动脉瘤:两例报告

Balloon-Assisted Thrombin Injection in Iatrogenic Common Femoral Artery Pseudoaneurysms With Long Wide Necks: Two Case Reports.

作者信息

Saha Srijit, Paul Sounak, Bhattacharyya Avik, Tripathy Sourav, Chattopadhyay Anasua

机构信息

Interventional Radiology, CK Birla Hospitals, The Calcutta Medical Research Institute, Kolkata, IND.

Radiodiagnosis, CK Birla Hospitals, The Calcutta Medical Research Institute, Kolkata, IND.

出版信息

Cureus. 2025 Mar 28;17(3):e81383. doi: 10.7759/cureus.81383. eCollection 2025 Mar.

DOI:10.7759/cureus.81383
PMID:40296975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12034456/
Abstract

Common femoral artery pseudoaneurysms can develop following traumatic events or as a complication of endovascular interventional procedures. There is a wide range of treatment options. We present two cases, where the patients had developed pseudoaneurysms in the right common femoral artery following conventional coronary angiography. The aneurysms had long and wide necks and were managed successfully with balloon-assisted thrombin injection. This is a novel technique that can prevent distal embolism and is mentioned in the literature. This is a potential alternative to surgical or other commonly performed procedures for a selected group of patients.

摘要

股总动脉假性动脉瘤可在创伤事件后发生,或作为血管内介入手术的并发症出现。治疗选择范围广泛。我们介绍两例患者,他们在常规冠状动脉造影后右侧股总动脉出现了假性动脉瘤。这些动脉瘤的瘤颈长且宽,通过球囊辅助凝血酶注射成功进行了治疗。这是一种可预防远端栓塞的新技术,文献中有所提及。对于特定患者群体而言,这是手术或其他常用手术的一种潜在替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/c88d106beddf/cureus-0017-00000081383-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/011ee1cc1c33/cureus-0017-00000081383-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/b871a4a1295d/cureus-0017-00000081383-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/b646a397e4b0/cureus-0017-00000081383-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/ef4c65b8070b/cureus-0017-00000081383-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/c88d106beddf/cureus-0017-00000081383-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/011ee1cc1c33/cureus-0017-00000081383-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/b871a4a1295d/cureus-0017-00000081383-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/b646a397e4b0/cureus-0017-00000081383-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/ef4c65b8070b/cureus-0017-00000081383-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/952b/12034456/c88d106beddf/cureus-0017-00000081383-i05.jpg

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本文引用的文献

1
Do not underestimate the femoral pseudoaneurysm.不要低估股动脉假性动脉瘤。
Vasa. 2018 Apr;47(3):177-185. doi: 10.1024/0301-1526/a000691. Epub 2018 Feb 14.
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Flow Reduction-Aided Thrombin Injection for Complex Femoral Pseudoaneurysms: Case Series and Review of the Literature.血流减少辅助凝血酶注射治疗复杂股部假性动脉瘤:病例系列及文献综述
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Successful balloon assisted percutaneous thrombin injection of right subclavian artery pseudoaneurysm.
成功实施球囊辅助经皮右锁骨下动脉假性动脉瘤内注射凝血酶治疗。
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Ultrasound-guided thrombin injection of iatrogenic groin pseudoaneurysm: Doppler features and technical tips.超声引导下凝血酶注射治疗医源性腹股沟假性动脉瘤:多普勒特征及技术要点
Br J Radiol. 2008 Feb;81(962):154-63. doi: 10.1259/bjr/52029321.
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Femoral artery thrombosis following percutaneous treatment with thrombin injection of a femoral artery pseudoaneurysm: a case report.经皮注射凝血酶治疗股动脉假性动脉瘤后发生股动脉血栓形成:一例报告
Cardiovasc Intervent Radiol. 2007 Jul-Aug;30(4):789-92. doi: 10.1007/s00270-007-9024-7.
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Iatrogenic femoral pseudoaneurysms that are unresponsive to percutaneous thrombin injection: potential causes.对经皮注射凝血酶无反应的医源性股动脉假性动脉瘤:潜在原因
AJR Am J Roentgenol. 2003 Nov;181(5):1301-4. doi: 10.2214/ajr.181.5.1811301.
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Percutaneous thrombin injection of carotid artery pseudoaneurysm.经皮注射凝血酶治疗颈动脉假性动脉瘤。
J Endovasc Ther. 2002 Feb;9(1):25-8. doi: 10.1177/152660280200900105.
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Human thrombin injection for the percutaneous treatment of iatrogenic pseudoaneurysms.人凝血酶注射用于经皮治疗医源性假性动脉瘤。
Cardiovasc Intervent Radiol. 2002 Mar-Apr;25(2):115-8. doi: 10.1007/s00270-001-0081-z. Epub 2002 Jan 17.
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Duplex scanning-guided thrombin injection for the treatment of iatrogenic pseudoaneurysms.双功超声扫描引导下注射凝血酶治疗医源性假性动脉瘤。
J Vasc Surg. 2002 Mar;35(3):517-21. doi: 10.1067/mva.2002.120029.