중재적 심장 시술후 발생한 대퇴동맥 가성동맥류의 색체 도플러 초음파 유도 직접압박법을 이용한 치험 1예
A Case of Femoral Artery Pseudoaneurysm, which was Developed after Interventional Cardiology Procedure, Treated with Color Doppler Ultrasound-Guided Direct Compression
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초록
저자들은 심근경색증이 있어 heparin을 정맥투여하고 경피적 관동맥성형술 및 stent 삽입, 일시적 심박동 조율기를 삽입한 74세 남자환자에서 발생한 대퇴동맥 가성동맥류를 색체 도플러 초음파 유도하 직접 압박법으로 성공적으로 치료하였기에 보고하는 바이다.
Abstract
Vascular complications such as hematoma, pseudoaneurysm and arteriovenous fistula that occur after intracoronary or intracardiac procedures are responsible for considerable morbidity and some mortality. Iatrogenic aneurysms are usually postcatheterization pseudoaneurysms of the femoral artery. Nowadays, it is not uncommon as a consequence of more complex interventional procedures, larger catheters and prolonged anticoagulation treatment. Surgical repair has been mainstay of treatment for pseudoaneurysm. However, recently has it been shown that color Doppler ultrasound-guided direct, noninvasive compression of the pseudoaneurysm stops the blood flow in the communication and lead to pseudoaneurysm clotting and obliteration. We report a case of pseudoaneurysm in femoral artery, which was developed at the right inguinal puncture site in 74 year old male patient with myocardial infarction who had received continuous intravenous infusion of heparin and had undergone primary percutaneous coronary angioplasty and temporary pacemaker insertion treated successfully with color Doppler ultrasound guided direct compression.