Ultrasound-guided compression repair or ultrasound-guided compression-puncture hematocele repair in treatment of post-cardiac catheterization pseudoaneurysms
- VernacularTitle:超声引导下单纯压迫或合并穿刺抽积血法治疗心导管术后假性动脉瘤(附5例报告)
- Author:
Yong XU
;
Yahong WEN
;
Julong TIAN
- Publication Type:Journal Article
- Keywords:
Pseudoaneurysms;
Cardiac catherization;
Ultrasound-guided compression repair;
Ultrasound-guided compress with puncture hemecele repair
- From:
Chinese Journal of Interventional Cardiology
1996;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce and evaluate the methods of ultrasound-guided compression repair (UGCR) or ultrasound-guided compression-puncture hematocele repair (UGCPHR) in treatment of post-catheterization femoral arterial pseudoaneurysms. Methods Two patients with femoral arterial pseudoaneurysms (3.0 cm?3.0 cm) were treated with UGCPHR, a 18-gauge blunt needle self-retrained with a syringe was placed into the pseudoaneurysm flow lumen along the primary cleft, to compress this site to cut-out continuously the blood flow into the lumen, then to draw all the hemocele out with the syringe, to slowly decompress after continuing the compression for 20-30 minutes, and to repeat this procedure if blood flow signals still existed. Results All the five cases were treated successfully, without large hardening nodules. Four cases were treated successfully at one time, one case was successfully with UGCPHR after failure with UGCR. Conclusion For the treatment of post-catherization femoral arterial pseudoaneurysms, UGCR or UGCPHR depending on the size of pseudoaneurysms is effective, safe and technically simple, without local largely hardening nodules formation in post-repair or any effects on interventional diagnosis and treatment in short periods along the same passway.
