METHODS: Three patients (age: 71-82 years; 3 female) with SFA pseudoaneurysms underwent PUGTI with balloon occlusion. The procedure involved direct thrombin injection under ultrasound guidance while occluding the parent artery using a balloon catheter. Follow-up was conducted at 1 week and 1 month post-procedure to assess technical success, complications, and recurrence.
CONCLUSIONS: PUGTI combined with balloon occlusion appears to be a safe and effective treatment for SFA pseudoaneurysms, particularly for larger pseudoaneurysms. The procedure is associated with a high technical success rate. Balloon occlusion may offer a safer alternative to direct thrombin injection without occlusion, as it potentially minimizes the risk of complications such as distal thromboembolism.
方法:3名SFA假性动脉瘤患者(年龄71-82岁;3名女性)接受PUGTI伴球囊闭塞。该程序包括在超声引导下直接注射凝血酶,同时使用球囊导管闭塞父动脉。在手术后1周和1个月进行随访,以评估技术成功。并发症,和复发。
结论:PUGTI联合球囊闭塞似乎是SFA假性动脉瘤安全有效的治疗方法,特别是对于较大的假性动脉瘤。该程序与较高的技术成功率相关联。球囊闭塞可以提供一个更安全的替代直接凝血酶注射没有闭塞,因为它有可能将远端血栓栓塞等并发症的风险降至最低。