Non-surgical treatment of hemorrhagic shock caused by rupture of iatrogenic pseudoaneurysm.
10.12701/yujm.2014.31.1.17
- Author:
Soon Young KIM
1
;
Tae Jun KIM
;
Seong Kyun NA
;
Seung Ah PARK
;
Dong Min JUNG
;
Yong Kyun KIM
;
Sang Ho JO
Author Information
1. Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. sophi5neo@gmail.com
- Publication Type:Case Report
- Keywords:
Pseudoaneurysm;
Hemorrhagic shock;
Hemodialysis
- MeSH:
Aneurysm, False*;
Catheterization;
Catheters;
Coronary Angiography;
Femoral Artery;
Humans;
Middle Aged;
Peripheral Nervous System Diseases;
Renal Dialysis;
Rupture*;
Shock, Hemorrhagic*;
Thrombin
- From:Yeungnam University Journal of Medicine
2014;31(1):17-20
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Iatrogenic femoral artery pseudoaneurysm is a complication in patients undergoing catheterization. The risk increased when large-bore sheaths, concomitant anticoagulation therapy, and antiplatelet therapy are used during the intervention. Ultrasound-guided thrombin injection has become the treatment of choice. Rapid expansion, rupture, infection, and mass effect resulting in distal or cutaneous ischaemia or peripheral neuropathy, as well as failure of other treatment options are all indications for surgery. We report a 48-year-old man who developed hemorrhagic shock due to femoral pseudoaneurysm rupture after coronary angiography, and successfully treated by ultrasound-guided thrombin injection.
