超声引导下球囊辅助注射外用冻干人纤维蛋白粘合剂治疗肱动脉假性动脉瘤1例

A patient with brachial artery pseudoaneurysm treated with ultrasound-guided and balloon-assisted injection of human fibrin sealant

该文报道1例维持性血液透析患者行内瘘穿刺过程中误伤肱动脉引起假性动脉瘤(pseudoaneurysm,PSA)的救治。既往PSA主要治疗方式包括外科切开修补、局部加压治疗、超声引导下瘤腔内注射凝血酶、覆膜支架植入、弹簧圈栓塞等方法,但均有一定缺陷。该患者因内瘘功能不良入院,彩超确诊肱动脉PSA形成,使用超声引导下球囊辅助注射外用冻干人纤维蛋白粘合剂成功治疗PSA。术后3个月回访患者,内瘘功能良好。

The paper reports the treatment of a maintenance hemodialysis patient with pseudoaneurysm(PSA)caused by accidental injury of brachial artery during the puncture of internal fistula.The main treatment methods of PSA include surgical incision and repair,local pressure therapy,ultrasound-guided intraluminal thrombin injection,implantation of covered stent,coil embolization and so on,but they all have some defects.The patient was admitted to hospital due to poor fistula function,and the formation of brachial artery PSA was confirmed by color ultrasound.PSA was successfully treated with ultrasound-guided and balloon-assisted injection of human fibrin sealant.The fistula had good function 3 months after the operation.