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经桡动脉冠状动脉介入术后出现多个桡动脉假性动脉瘤,包括一处无关的动脉导管插入部位:一例病例报告。

Multiple radial artery pseudoaneurysms including an unrelated site of arterial catheterization after transradial coronary intervention: a case report.

作者信息

Jung Hee Suk, Kim Kwan Wook

机构信息

Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, Seongnam-si, South Korea.

出版信息

J Surg Case Rep. 2025 Jul 15;2025(7):rjaf524. doi: 10.1093/jscr/rjaf524. eCollection 2025 Jul.

DOI:10.1093/jscr/rjaf524
PMID:40667429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12260839/
Abstract

Radial artery pseudoaneurysm (RAP) is a rare iatrogenic complication associated with percutaneous radial artery catheterization. However, RAP has become more common with the increased use of transradial coronary intervention. RAP has a diverse range of treatment strategies-from conservative management to endovascular treatment and surgery. We report on the case of a 66-year-old male patient with a 1-month prior history of transradial coronary intervention. A computed tomography (CT) scan was performed to evaluate pain, swelling and palpable masses on right forearm. The results of this CT revealed two discrete RAPs. Surgery was performed for complete excision of the RAPs after percutaneous endovascular exclusion using covered stent failed.

摘要

桡动脉假性动脉瘤(RAP)是一种与经皮桡动脉导管插入术相关的罕见医源性并发症。然而,随着经桡动脉冠状动脉介入治疗的使用增加,RAP变得更为常见。RAP有多种治疗策略——从保守治疗到血管内治疗和手术。我们报告一例66岁男性患者,有1个月的经桡动脉冠状动脉介入治疗病史。进行了计算机断层扫描(CT)以评估右前臂的疼痛、肿胀和可触及肿块。该CT结果显示两个独立的RAP。在使用覆膜支架进行经皮血管内封堵失败后,进行了手术以完全切除RAP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/5745d088359c/rjaf524f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/5fa3bc3148f4/rjaf524f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/a98bcfb4293c/rjaf524f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/b4d931976b03/rjaf524f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/5745d088359c/rjaf524f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/5fa3bc3148f4/rjaf524f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/a98bcfb4293c/rjaf524f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/b4d931976b03/rjaf524f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c09b/12260839/5745d088359c/rjaf524f4.jpg

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本文引用的文献

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Unusual Vascular Complications Associated with Transradial Coronary Procedures Among 10,324 Patients: Case Based Experience and Treatment Options.10324例经桡动脉冠状动脉介入治疗相关的罕见血管并发症:基于病例的经验与治疗选择
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