Ultrasound-guided thrombin injection for treatment of iatrogenic femoral pseudoaneurysm JIANG Pei1，SHI Shu-gui1，WANG Yi1，LU Long1，LI Guang-jian1，GUO Yan-li2，CHEN Kang-ning，ZHOU Zhen-hua

JIANG Pei; SHI Shu-gui; WANG Yi; LU Long; LI Guang-jian; GUO Yan-li; CHEN Kang-ning; ZHOU Zhen-hua

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Ultrasound-guided thrombin injection for treatment of iatrogenic femoral pseudoaneurysm JIANG Pei1，SHI Shu-gui1，WANG Yi1，LU Long1，LI Guang-jian1，GUO Yan-li2，CHEN Kang-ning，ZHOU Zhen-hua

更新时间：2023-05-22

- Ultrasound-guided thrombin injection for treatment of iatrogenic femoral pseudoaneurysm JIANG Pei1，SHI Shu-gui1，WANG Yi1，LU Long1，LI Guang-jian1，GUO Yan-li2，CHEN Kang-ning，ZHOU Zhen-hua
- null Issue 5, (2016)
- 作者机构：
  
  1. 第三军医大学西南医院神经内科,重庆,400038
  2. 第三军医大学西南医院超声诊断科,重庆,400038
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2016，
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JIANG Pei, SHI Shu-gui, WANG Yi, et al. Ultrasound-guided thrombin injection for treatment of iatrogenic femoral pseudoaneurysm JIANG Pei1，SHI Shu-gui1，WANG Yi1，LU Long1，LI Guang-jian1，GUO Yan-li2，CHEN Kang-ning，ZHOU Zhen-hua. [J]. null (5).(2016)
DOI：

JIANG Pei, SHI Shu-gui, WANG Yi, et al. Ultrasound-guided thrombin injection for treatment of iatrogenic femoral pseudoaneurysm JIANG Pei1，SHI Shu-gui1，WANG Yi1，LU Long1，LI Guang-jian1，GUO Yan-li2，CHEN Kang-ning，ZHOU Zhen-hua. [J]. null (5).(2016) DOI：

摘要

［摘要］目的探讨超声引导下注射凝血酶（FPA）治疗医源性假性动脉瘤的最佳部位和疗效。方法收集我院神经内科2010年1月至2015年6月32例发生医源性假性动脉瘤患者的临床资料，回顾性分析患者发生动脉瘤后压迫治疗效果、注射凝血酶的部位、方法、剂量和治疗效果。结果2010年1月至2015年6月共进行脑血管病介入诊治手术3 573例，出现股动脉穿刺部位假性动脉瘤43例，占1.20%，经常规压迫伴加压包扎后11例好转，32例无效；对无效的32例进行了超声引导下选择远离瘤腔破口血流方向的部位进行凝血酶注射，剂量为(30±12)IU，注射后1 min内瘤腔消失，未发生远端栓塞事件。随访5~70个月，平均(38.69±20.79)个月，无再发及并发症产生。结论对常规压迫伴加压包扎无效的医源性假性动脉瘤，在超声定位下采用远离瘤腔破口血流方向的部位进行凝血酶注射，使动脉瘤填塞的成功率高，使用凝血酶剂量少，且并发症发生率低。

Abstract

Abstract: ObjectiveTo investigate the best injection position and curative effect of ultrasound-guided thrombin injection (UGTI) on femoral pseudoaneurysm (FPA).MethodsReview the data of FPA cases in the neurology department of southwest hospital from January 2010 to June 2015.Detailed clinical information of the patients，including the curative effect of local compression therapy

the position

method

dosage and curative effect of ultrasound-guided thrombin injection were collected and analyzed.ResultsFrom January 2010 to June 2015，43 cases (1.20%) of FPA were diagnosed in 3573 patients undergoing cerebrovascular interventional operation.Local compression therapy was effective in 11 of 43 FPA patients.The remaining 32 patients who had no response to local compression therapy were treated by UGTI

and the average dosage of thrombin was (30±12) IU. All FPA were blocked successfully within 1 minute and without any distal embolism events after the first UGTI attempt.No relapse and complications occurred during the follow-up of 5 to 70 months

averagely (38.69±20.79) months.ConclusionUGTI is effective for treatment of FPA who had no response to local compression therapy.Thrombin injection at position far away from the blood flow direction of pseudoaneurysm neck crevasse with ultrasound-guided could bring about highe success rate，less amount of thrombin，and less complications.

关键词

股动脉假性动脉瘤超声检查凝血酶注射血流动力学注射部位

Keywords

femoral artery pseudoaneurysmultrasonographythrombin injectionhemodynamicsinjection position

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