의인성 가성낭종 파열에 의한 출혈성 쇽의 비수술적 치료
Non-surgical treatment of hemorrhagic shock caused by rupture of iatrogenic pseudoaneurysm
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Iatrogenic femoral artery pseudoaneurysm is a complication in patients undergoing catheterization. The risk increased when large-bore sheaths, concomitant anticoagulation therapy, and antiplatelet therapy are used during the intervention. Ultrasound-guided thrombin injection has become the treatment of choice. Rapid expansion, rupture, infection, and mass effect resulting in distal or cutaneous ischaemia or peripheral neuropathy, as well as failure of other treatment options are all indications for surgery. We report a 48-yearold man who developed hemorrhagic shock due to femoral pseudoaneurysm rupture after coronary angiography, and successfully treated by ultrasound-guided thrombin injection.
Abstract
Iatrogenic femoral artery pseudoaneurysm is a complication in patients undergoing catheterization. The risk increased when large-bore sheaths, concomitant anticoagulation therapy, and antiplatelet therapy are used during the intervention. Ultrasound-guided thrombin injection has become the treatment of choice. Rapid expansion, rupture, infection, and mass effect resulting in distal or cutaneous ischaemia or peripheral neuropathy, as well as failure of other treatment options are all indications for surgery. We report a 48-yearold man who developed hemorrhagic shock due to femoral pseudoaneurysm rupture after coronary angiography, and successfully treated by ultrasound-guided thrombin injection.
참고문헌 (11)
- Sheikh KH, "Utility of Doppler color flow imaging for identification of femoral arterial complications of cardiac catheterization", Am Heart J, 117, pp.623~628 (1989)
- Webber GW, "Contemporary management of postcatheterization seudoaneurysms", Circulation, 115, pp.2666~2674 (2007)
- Brunicardi FC, "Schwartz’s principles of surgery: self-assessment and board review" (2006), McGraw-Hill Medical Pub
- Ahmad F, "Iatrogenic femoral artery pseudoaneurysms--a review of current methods of diagnosis and treatment", Clin Radiol, 63, pp.1310~1316 (2008)
- Saad NE, "Pseudoaneurysms and the role of minimally invasive techniques in their management", Radiographics, 25(Suppl 1), pp.S173~S189 (2005)
- Middleton WD, "Diagnosis and treatment of iatrogenic femoral artery pseudoaneurysms", Ultrasound Q, 21, pp.3~17 (2005)
- Oweida SW, "Postcatheterization vascular complications associated with percutaneous transluminal coronary angioplasty", J Vasc Surg, 12, pp.310~315 (1990)
- Lenartova M, "Iatrogenic pseudoaneurysm of femoral artery: case report and literature review", Clin Med Res, 1, pp.243~247 (2003)
- Gabrielli R, "Fatal complication after thrombin injection for post-catheterization femoral pseudoaneurysm", Thorac Cardiovasc Surg, 59, pp.372~375 (2011)
- San Norberto García EM, "Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis", Interact Cardiovasc Thorac Surg, 8, pp.353~357 (2009)
- 김기수, "Successful Treatment of an Iatrogenic Giant Femoral Artery Pseudoaneurysm With Percutaneous Thrombin Injection", Korean Circulation Journal, 40(6), pp.292~294 (2010), 대한심장학회