The Korean Journal of Medicine

  • 제85권6호
  • /
  • Pages.614-618
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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가성동맥류의 초음파 유도 압박법 시행 후 발생한 심부정맥 혈전증 1예

A Case of Deep Vein Thrombosis Following Ultrasound-Guided Compression of a Pseudoaneurysm

  • 김유신 (한양대학교 의과대학 내과학교실) ;
  • 김병식 (한양대학교 의과대학 내과학교실) ;
  • 이상기 (한양대학교 의과대학 내과학교실) ;
  • 이재곤 (한양대학교 의과대학 내과학교실) ;
  • 이용구 (한양대학교 의과대학 내과학교실) ;
  • 신정훈 (한양대학교 의과대학 내과학교실) ;
  • 최성일 (한양대학교 의과대학 내과학교실)
  • Kim, You Shin (Department of Internal Medicine, Hanyang University College of medicine) ;
  • Kim, Byung Sihk (Department of Internal Medicine, Hanyang University College of medicine) ;
  • Lee, Sang-Ki (Department of Internal Medicine, Hanyang University College of medicine) ;
  • Lee, Jae Gon (Department of Internal Medicine, Hanyang University College of medicine) ;
  • Lee, Yonggu (Department of Internal Medicine, Hanyang University College of medicine) ;
  • Shin, Jeong Hun (Department of Internal Medicine, Hanyang University College of medicine) ;
  • Choi, Sung Il (Department of Internal Medicine, Hanyang University College of medicine)
  • 투고 : 2012.12.05
  • 심사 : 2013.01.28
  • 발행 : 2013.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

관상동맥 중재술을 시행받은 65세 여자 환자에서 좌측 대퇴동맥 천자 부위의 가성동맥류가 발생하였다. 초음파 유도 압박법으로 가성동맥류를 치료 후 퇴원하였으나 외부장골정맥에 심부정맥 혈전증이 발생하여 항응고제요법 유지 후 호전되었다. 저자들은 관상동맥 중재술 후 발생한 가성동맥류를 초음파 유도 압박법으로 치료하였고 이후 발생한 심부정맥 혈전증을 치료한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Femoral artery pseudoaneurysm (FAP) is one of the most troublesome groin complications related to femoral arterial access during invasive cardiovascular procedures. Ultrasound-guided compression is the initial treatment for FAP. Here, we describe the case of a 65 year-old female who developed significant deep vein thrombosis (DVT) following ultrasound-guided compression of FAP after percutaneous coronary intervention. She was successfully treated with anti-coagulation medications. This case, along with a brief review of the literature, should remind physicians of the possible occurrence of delayed vascular complications, such as DVT, after ultrasound-guided compression of FAP.

키워드

참고문헌

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