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

VernacularTitle: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
Author: Senlin QIAN ¹ ; Hui LI ; Ziming WAN
Author Information

1. 重庆医科大学附属第一医院肾内科，重庆　400042钱森林现在国药葛洲坝中心医院/三峡大学第三临床医学院肾内科，宜昌　443000；李慧现在重庆市渝北区人民医院肾内科，重庆　401120
Keywords: Renal dialysis; Brachial artery; Aneurysm, false; Ultrasonography; Human fibrin sealant
From: Chinese Journal of Nephrology 2024;40(1):53-55
CountryChina
Language:Chinese
Abstract: 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.