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导管插入术后罕见的假性动脉瘤:超声引导下压迫治疗成功

Unusual pseudoaneurysms after catheterization: successful treatment by ultrasound-guided compression.

作者信息

Do D D, Chatterjee T, Mahler F

机构信息

Department of Medicine, Division of Angiology, Inselspital, University Hospital, Berne, Switzerland.

出版信息

Ultrasound Med Biol. 1997;23(3):377-80. doi: 10.1016/s0301-5629(96)00226-8.

Abstract

Postcatheterization pseudoaneurysms occur mostly in the femoral artery. Two patients (both women, aged 67 and 59 years) undergoing percutaneous transluminal angioplasty (PTA) at our institution presented pseudoaneurysms in unusual locations, one in the brachial and one in the popliteal artery. Because of good experiences with ultrasound-guided compression repair (UGCR) in the femoral artery, we also successfully performed this noninvasive treatment on the two patients. Follow-up at 28 and 12 months, respectively, after the procedure, showed no instances of recurrence. As with the excellent results of UGCR in the femoral artery, we believe that this new modality is also the treatment of choice in iatrogenic pseudoaneurysms of the arm and popliteal arteries.

摘要

导管插入术后假性动脉瘤大多发生在股动脉。在我们机构接受经皮腔内血管成形术(PTA)的两名患者(均为女性,年龄分别为67岁和59岁)出现了非典型部位的假性动脉瘤,一个在肱动脉,一个在腘动脉。鉴于在股动脉超声引导下压迫修复(UGCR)有良好经验,我们也成功地对这两名患者进行了这种非侵入性治疗。术后分别随访28个月和12个月,均未发现复发情况。鉴于UGCR在股动脉取得的优异效果,我们认为这种新方法也是治疗手臂和腘动脉医源性假性动脉瘤的首选方法。

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