冠心病介入治疗术后并发迟发型假性动脉瘤11例分析  

Clinical analysis on 11 cases with late-onset pseudoaneurysm after percutaneous coronary intervention

作　　者：童嘉毅[1] 张炽敏[2] 陈龙[1] 卞叶萍[3] 闫磊[1] 徐艳娟[1] 金思静 沈祥波[1] 冯毅[1] 马根山[1] 

机构地区：[1]东南大学附属中大医院心脏病科,江苏省210009 [2]东南大学附属中大医院超声诊断科,江苏省210009 [3]江苏省级机关医院 [4]安徽省淮南朝阳医院心脏病科

出　　处：《江苏医药》2012年第15期1786-1788,共3页Jiangsu Medical Journal

摘　　要：目的探讨冠心病介入治疗术后迟发型假性动脉瘤的特点与治疗。方法回顾性分析11例冠心病介入治疗术后迟发型假性动脉瘤临床资料。结果 11例假性动脉瘤发生在术后24-72h,75岁以上和女性患者占多数。术后应用低分子肝素也有促进迟发型假性动脉瘤发生的趋势。注射凝血酶200-500U后,超声监测示瘤腔回声明显增强,瘤腔内血流信号消失。结论冠心病介入手术后迟发型假性动脉瘤不容忽视,尤其是老年女性与低分子肝素应用的患者;超声引导下的凝血酶注射是有效的治疗手段。Objective To investigate the characteristics and treatment of late-onset pseudoaneurysm（LOPA） after percutaneous coronary intervention（PCI） surgery. Methods Data of 11 cases with LOPA after PCI were retrospectively analyzed. Results The LOPA of 11 cases occurred 24-72 hours after PCI. The incidence of LOPA was more in female and aged greater than 75 years old （9 cases）. Application of low molecular weight heparin appeared to have the trend of promoting the occurrence of LOPA. Thrombin injection under ultrasound guidance was a safe, fast and efficient treatment for LOPA. Conclusion Attention should be paid to the pseudoaneurysm later after PCI, especially in elderly female patients undergoing low molecular weight heparin therapy. Thrombin injection under ultrasound guidance is an effective treatment for the patients with LOPA.

关 键 词：假性动脉瘤 经皮冠脉介入治疗术 凝血酶 

分 类 号：R543[医药卫生—心血管疾病]