Schwend R B, Hambsch K P, Kwan K Y, Boyajian R A, Otis S M
Vascular Laboratory, Scripps Clinic and Research Foundation, La Jolla, California 92037.
J Ultrasound Med. 1993 Oct;12(10):609-13. doi: 10.7863/jum.1993.12.10.609.
Over a 21 month period, 112 patients were seen in the vascular laboratory for evaluation and therapy of possible pseudoaneurysm. Pseudoaneurysm was confirmed by color flow sonographic imaging in 31 patients. Twenty-eight of these patients underwent sonographically monitored extrinsic manual compression to induce thrombosis and subsequent obliteration. Complete manual thrombosis was achieved in 17 patients while partial thrombosis with subsequent spontaneous closure developed in three patients, for a total success rate of 71% (20/28). In eight patients attempts to thrombose the pseudoaneurysm failed (29%). Induction of thrombosis by manual compression was successful in the presence of oral and intravenous anticoagulants. No therapeutic complications were encountered. Under proper sonographic guidance, the technique of manual obliteration of pseudoaneurysms provides a safe and effective alternative to surgical intervention.
在21个月的时间里，112名患者到血管实验室接受可能存在的假性动脉瘤的评估和治疗。31名患者经彩色血流超声成像确诊为假性动脉瘤。其中28名患者接受了超声监测下的外部手法压迫，以诱导血栓形成并随后使其闭塞。17名患者实现了完全手法血栓形成，3名患者形成部分血栓并随后自发闭合，总成功率为71%（20/28）。8名患者手法使假性动脉瘤形成血栓的尝试失败（29%）。在口服和静脉抗凝剂存在的情况下，手法压迫诱导血栓形成成功。未遇到治疗并发症。在适当的超声引导下，手法闭塞假性动脉瘤的技术为手术干预提供了一种安全有效的替代方法。
