Diagnostic and therapeutic value of color Doppler flow imaging to elderly femoral arterial pseudo aneurysms
10.3760/cma.j.issn.1673-4904.2009.11.015
- VernacularTitle:彩色多普勒血流显像对老年股动脉假性动脉瘤的诊断及治疗价值
- Author:
Xiuhua CHEN
;
Fajin GUO
;
Guang XU
;
Xiajie HAN
;
Mingxiao WU
- Publication Type:Journal Article
- Keywords:
Ultrasonography,Doppler,color;
Angioplasty,transluminal,percutaneous coronary;
Aneurysm,false
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(11):35-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of color Doppler flow imaging (CDFI) in the diagnosis of elderly femoral arterial pseudo aneurysm and treating with ultrasound-guided compression after percutaneous transluminal coronary angioplasty (PTCA). Methods Twenty-six elderly patients who were found a mass and/or vascular murmur in the puncture region were examined by CDFI, and the results of CDFI were proven by clinic and MRI. All pseudo aneurysms were repaired by CDFI guidance to compress simply and/or injecting directly batroxobin into the pseudo aneurysm lumen combined with compression.Results Pseudo aneurysms were diagnosed definitely by CDFI in 26 cases,and the accuracy rate was 100%. Twenty-two cases were repaired with CDFI guidance to compress simply and percutaneously injection of batroxobin into the pseudo aneurysm lumen combined with compression occurred in 3 cases. One case was cured by surgery after failing to be repaired with CDFI guidance. Conclusions CDFI has an important diagnosis value of pseudo aneurysm after PTCA. The method of CDFI guidance compression and batroxobin injection for repairing pseudo aneurysm is simple, safe and effective.
