Korean Circulation Journal

  • 제40권6호
  • /
  • Pages.292-294
  • /
  • 2010
  • /
  • 1738-5520(pISSN)
  • /
  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
권호 표지
DOI QR코드

DOI QR Code

Successful Treatment of an Iatrogenic Giant Femoral Artery Pseudoaneurysm With Percutaneous Thrombin Injection

  • Kim, Ki-Su (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Youn, Jun-Mo (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Han, Won-Seok (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Yoon, Young-Jin (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Yoo, Jae-Hoon (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Gu, Dong-Young (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center) ;
  • Rhee, Il (Department of Medicine, Dong-Eui University College of Oriental Medicine, Cardiac and Vascular Center, Dong-Eui Medical Center)
  • 투고 : 2009.11.18
  • 심사 : 2010.01.02
  • 발행 : 2010.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

A femoral artery pseudoaneurysm (FAP) is one of the most troublesome complications following invasive procedures related to the femoral arterial access. Post-procedure FAP rarely occurs; however, its occurrence tends to increase with the more frequently antiplatelet agents, anticoagulants, and larger-sized catheter used for interventional procedures. Traditionally, surgical repair has been considered as the standard treatment modality for FAP; however, less invasive methods currently exist such as blind manual or ultrasound-guided compression repair (UGCR) as well as percutaneous thrombin injection, both of which have replaced the need for surgery. We report a case of a giant pseudoaneurysm in a femoral artery, which had developed as a complication of stenting in a patient with carotid artery stenosis and ischemic heart disease, and was subsequently successfully treated using percutaneous thrombin injection.

키워드

참고문헌

  1. Webber GW, Jang J, Gustavson S, Olin JW. Contemporary management of postcatheterization pseudoaneurysms. Circulation 2007; 115:2666-74. https://doi.org/10.1161/CIRCULATIONAHA.106.681973
  2. Ku BK, Kim HS, Ko CW, et al. A case of femoral artery pseudoaneurysm treated with compression guided by color Doppler ultrasound. Korean Circ J 1995;25:119-23. https://doi.org/10.4070/kcj.1995.25.1.119
  3. Lenartova M, Tak T. Iatrogenic pseudoaneurysm of femoral artery: case report and literature review. Clin Med Res 2003;1:243-7. https://doi.org/10.3121/cmr.1.3.243
  4. Popovic B, Freysz L, Chometon F, et al. Femoral pseudoaneurysms and current cardiac catheterization: evaluation of risk factors and treatment. Int J Cardiol 2008. DOI:10.1016/j.ijcard. 2008.11.111.
  5. San Norberto García EM, Gonzalez-Fajardo J, Gutierrez V, Carrera S, Vaquero C. Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis. Interact Cardiovasc Thorac Surg 2009;8:353-7.
  6. Madaric J, Vulev I, Mistrik A, et al. The recurrence of iatrogenic femoral artery pseudoaneurysm after occlusion by ultrasound guided percutaneous thrombin injection. EuroIntervention 2009;5: 443-7. https://doi.org/10.4244/EIJV5I4A70
  7. La Perna L, Olin JW, Goines D, Quriel K. Ultrasound-guided thrombin injection for the treatment of postcatheterization pseudoaneurysms. Circulation 2000;102:2391-5. https://doi.org/10.1161/01.CIR.102.19.2391

피인용 문헌

  1. 의인성 가성낭종 파열에 의한 출혈성 쇽의 비수술적 치료 vol.31, pp.1, 2010, https://doi.org/10.12701/yujm.2014.31.1.17