Abstract:
With the development of vascular intervention, pseudoaneurysm complications are increasing. Ultrasound-guided thrombin injection (UGTI) is currently the treatment of choice for pseudoaneurysm, but the pharmacological properties of thrombin may trigger acute thrombosis within the vessel lumen. Despite a very low incidence, this type of primary arterial thrombosis is a serious complication of UGTI, and cases involving multiple branches of the lower limb arteries are particularly rare.
Here, we report a case of a 65-year-old male who underwent UGTI for the treatment of an iatrogenic pseudoaneurysm of the femoral artery complicated by acute thrombosis of multiple arteries in the lower limbs, and the patient ultimately underwent a successful thrombectomy.
We reviewed the case and analyzed the possible etiologic causes, providing a reference for future clinical work.
摘要:
背景:随着血管介入的发展,假性动脉瘤并发症正在增加。超声引导凝血酶注射(UGTI)是目前治疗假性动脉瘤的首选方法,但是凝血酶的药理特性可能引发血管腔内的急性血栓形成。尽管发病率非常低,这种类型的原发性动脉血栓形成是UGTI的严重并发症,涉及下肢动脉多个分支的病例尤其罕见。
方法:这里,我们报告了一例65岁的男性,他接受了UGTI,用于治疗股动脉的医源性假性动脉瘤并伴有下肢多动脉的急性血栓形成,患者最终接受了成功的血栓切除术。
结论:我们回顾了病例并分析了可能的病因,为今后的临床工作提供参考。