Diagnosis and treatment of femoral after pseudo aneurism occurred after coronary artery intervention procedure

VernacularTitle:超声指导下冠状动脉介入术后股动脉假性动脉瘤的诊断和治疗
Author: Jun HE ; Yanhong ZHANG ; Zhiping GOU ; Chen LI
Publication Type:Journal Article
Keywords: Coronary intervention; Pseudoaneurysm; Femoral artery; Ultrasound examination
From: Clinical Medicine of China 2012;28(4):389-391
CountryChina
Language:Chinese
Abstract: Objective To explore the causes,clinical manifestations,diagnosis and treatment method of femoral artery pseudoaneurysms (IFPSA) after ultrasound-guided percutaneous coronary intervention.Methods Ultrasound-guided repair by compression was applied to all cases,of which the failed cases were treated with ultrasound-guided thrombin injection.Results IFPSA was confirmed by ultrasound imaging in 39 cases,18 of which were cured by compression repair,with the average compression duration of (36.78 ± 1.71 )min.Another 21 cases were cured by the thrombin injection,after compression repair failed,with average time for thrombosis (0.33 ± 0.06 )min.All the patients were re-evaluated by ultrasound 24 h after treatment,confirming the successful closure of the pseudoaneurysms.No recurrence of pseudoaneurysm was observed during a half-year post-operative follow-up.Conclusion Ultrasound-guided compression repair and ultrasound-guided thrombin injection into the cavity are safe and effective treatments for femoral arterial pseudoaneurysms after coronary intervention.