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经皮颈内静脉置管引起的锁骨下动脉假性动脉瘤的血管内支架移植物修复术:病例报告

Endovascular stented graft repair of a pseudoaneurysm of the subclavian artery caused by percutaneous internal jugular vein cannulation: case report.

作者信息

Pastores S M, Marin M L, Veith F J, Bakal C W, Kvetan V

机构信息

Division of Critical Care Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY, USA.

出版信息

Am J Crit Care. 1995 Nov;4(6):472-5.

PMID:8556089
Abstract

In high-risk patients endovascular repair of a pseudoaneurysm with a stented graft is a safe and reasonable treatment option that can preclude significant morbidity and shorten hospital stay. We report a case of pseudoaneurysm of the subclavian artery after internal jugular vein cannulation that was treated successfully with an endovascularly inserted, stented graft. The case report highlights the importance of recognizing this unusual but serious complication of percutaneous internal jugular vein catheterization through careful clinical examination, prompt duplex scanning, and arteriography.

摘要

对于高危患者,使用带支架移植物进行假性动脉瘤的血管内修复是一种安全且合理的治疗选择,可避免严重的并发症并缩短住院时间。我们报告一例颈内静脉插管后锁骨下动脉假性动脉瘤的病例,该病例通过血管内插入带支架移植物成功治疗。该病例报告强调了通过仔细的临床检查、及时的双功扫描和动脉造影来识别经皮颈内静脉置管这种不常见但严重并发症的重要性。

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