Jacobs J P, Goldman A P, Cullen S, Rocco D, Samanli U, Macrae D J, Elliott M J
Hospital for Children, Great Ormond Street, London, England.
Ann Vasc Surg. 1997 Nov;11(6):630-3. doi: 10.1007/s100169900102.
Any pulsatile neck mass after extracorporeal membrane oxygenation (ECMO) must be viewed as a pseudoaneurysm of the carotid artery until proven otherwise. Prompt diagnosis is necessary utilizing ultrasound. Angiography may not be necessary. Carotid artery pseudoaneurysm requires urgent surgical intervention to prevent catastrophic hemorrhage. The utilization of cardiopulmonary bypass may facilitate safe repair.
体外膜肺氧合(ECMO)后出现的任何搏动性颈部肿块,在排除其他情况之前,均应视为颈动脉假性动脉瘤。利用超声进行快速诊断是必要的。血管造影可能并非必需。颈动脉假性动脉瘤需要紧急手术干预以防止灾难性出血。使用体外循环可能有助于安全修复。