Values of clinical application of color Doppler ultrasonography in the diagnosis and treatment of iatrogenic femoral artery pseudoaneurysm in the elderly
10.3760/cma.j.issn.0254-9026.2012.04.013
- VernacularTitle:彩色多普勒超声对老年人医源性股动脉假性动脉瘤的诊断及治疗价值
- Author:
Mingxiao WU
;
Fajin GUO
;
Xiuhua CHEN
;
Ying ZHAO
- Publication Type:Journal Article
- Keywords:
Ultrasonography,Doppler,color;
Angioplasty,transluminal,percutaneous coronary;
Aneurysm,false
- From:
Chinese Journal of Geriatrics
2012;31(4):313-315
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the values of clinical application of color Doppler ultrasound in the diagnosis and treatment of iatrogenic femoral artery pseudoaneurysm (IFAP) in the elderly following percutaneous transluminal coronary angioplasty(PTCA). Methods A tota.of 35 patients aged(73.8±1.3) years with IFAP after PTCA were examined by color Doppler ultrasound.All cases were treated by compression simply for blocking blood flow with probe guided by ultrasound,and the failed cases were injected Reptilase into the lumen of pesudoaneurysm. Results 35 patients were diagnosed as IFAP by color Doppler ultrasound and the coincidence rate with clinical diagnosis was 100％ (35/35).Among all patients,31 cases were cured by simply compression guided by ultrasound and 3 cases were cured hy the injected reptilase into lumen,the cure rate was 97.15％(34/35).One cases was cured by surgery after failure to treat by the two above methods.34 cases (97.2％)were verified into occlusio by ultrasound after 24-48 h of treatment. Recurrence and other serious complications were not found during follow-up of 3-6 months. Conclusions Color Doppler ultrasound can be used for the preferred method in accurate diagnosis and effective cure of IFAP following PTCA in the elderly.
