摘要
随着各种经皮心血管介入手术的广泛开展及围手术期抗凝药物的大量应用,外周血管医源性假性动脉瘤的发生逐年增加。主要表现为穿刺部位搏动性肿块,可伴有局部疼痛,患肢活动受限及神经功能障碍,可出现大出血、感染、栓塞、动静脉漏等。既往的常规治疗以外科修复为主,但创伤较大。相对较小瘤腔可局部持续加压包扎或超声引导下按压修复,但易出现局部皮肤坏死、深静脉血栓形成及迷走反射导致低血压休克。近年来的研究显示在超声引导下注射凝血酶闭合医源性假性动脉瘤瘤腔,具有创伤小,治愈率高,并发症较少的优点,可作为治疗假性动脉瘤的新手段。
Pseudoaneurysms are common vascular abnormalities that represent a disruption in arterial wall continuity. Therapeutic options have evolved in recent years from the traditional surgical option or ultrasound guided compression toward a less complicated approach, ultrasound guided percutaneous thrombin injection. Although surgery is still necessary in a limited number of patients, most can be treated with ultrasound guided thrombin injection. Success exceeds 90% and complications are much lower than surgery. It could be a new way to treat pseudoaneurysms.
出处
《心血管病学进展》
CAS
2007年第4期557-559,共3页
Advances in Cardiovascular Diseases
关键词
假性动脉瘤
凝血酶
超声
pseudoaneurysms
thrombin
ultrasound
