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经皮中心静脉导管(PICC)置管后医源性腋动脉分支损伤采用弹簧圈栓塞治疗:一例报告

Iatrogenic Axillary Artery Branch Injury Following Peripherally Inserted Central Catheter (PICC) Line Insertion Managed With Coil Embolization: A Case Report.

作者信息

Zoghoul Sohaib Bassam Mahmoud, Ur Rehman Saad, Alhashimi Israa, Kassamali Rahil H, Barah Ali

机构信息

Radiology, Hamad Medical Corporation, Doha, QAT.

Medical School, Aston University, Birmingham, GBR.

出版信息

Cureus. 2025 May 16;17(5):e84207. doi: 10.7759/cureus.84207. eCollection 2025 May.

DOI:10.7759/cureus.84207
PMID:40525025
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12168670/
Abstract

Iatrogenic vascular injuries during peripherally inserted central catheter (PICC) placements are uncommon but can lead to significant complications, such as pseudoaneurysms and hematomas. We present the case of a 71-year-old woman with multiple comorbidities who developed a right subpectoral hematoma with active arterial bleeding following PICC line insertion. This injury was successfully managed using minimally invasive coil embolization by the interventional radiology team. This case underscores the importance of early recognition and management of such injuries, highlighting the efficacy of interventional radiology techniques as life-saving interventions.

摘要

在经外周静脉穿刺中心静脉置管(PICC)过程中发生的医源性血管损伤并不常见,但可能导致严重并发症,如假性动脉瘤和血肿。我们报告一例71岁患有多种合并症的女性患者,在PICC置管后出现右侧胸肌下血肿并伴有活动性动脉出血。介入放射科团队通过微创弹簧圈栓塞成功处理了这一损伤。该病例强调了早期识别和处理此类损伤的重要性,突出了介入放射学技术作为挽救生命干预措施的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c9/12168670/8e199317f422/cureus-0017-00000084207-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c9/12168670/006e12e753ee/cureus-0017-00000084207-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c9/12168670/8e199317f422/cureus-0017-00000084207-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c9/12168670/006e12e753ee/cureus-0017-00000084207-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c9/12168670/8e199317f422/cureus-0017-00000084207-i02.jpg

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本文引用的文献

1
Axillary Anatomy and Pathology: Pearls and "Pitfalls" for Thoracic Imagers.腋窝解剖与病理学:胸部影像学的“要点”与“陷阱”。
J Thorac Imaging. 2022 May 1;37(3):W28-W40. doi: 10.1097/RTI.0000000000000639. Epub 2022 Feb 10.
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Endovascular management of axillo-subclavian arterial injury: a review of published experience.经血管腔内治疗腋-锁骨下动脉损伤:文献回顾。
Injury. 2012 Nov;43(11):1785-92. doi: 10.1016/j.injury.2012.08.028. Epub 2012 Aug 22.
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Embolization in trauma: principles and techniques.创伤中的栓塞术:原理与技术
Semin Intervent Radiol. 2010 Mar;27(1):14-28. doi: 10.1055/s-0030-1247885.