超声引导下球囊辅助注射外用冻干人纤维蛋白粘合剂治疗肱动脉假性动脉瘤1例  

A patient with brachial artery pseudoaneurysm treated with ultrasound-guided and balloon-assisted injection of human fibrin sealant

作　　者：钱森林 李慧[1,3] 万梓鸣 Qian Senlin;Li Hui;Wan Ziming(Department of Nephrology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,ChinaQian;the Department of Nephrology,Gezhouba Central Hospital of Sinopharm/the Third Clinical Medical College of the Three Gorges University,Yichang 443000,China;the Department of Nephrology,Yubei District People's Hospital of Chongqing,Chongqing 401120,China)

机构地区：[1]重庆医科大学附属第一医院肾内科,重庆400042 [2]国药葛洲坝中心医院/三峡大学第三临床医学院肾内科,宜昌443000 [3]重庆市渝北区人民医院肾内科,重庆401120

出　　处：《中华肾脏病杂志》2024年第1期53-55,共3页Chinese Journal of Nephrology

摘　　要：该文报道1例维持性血液透析患者行内瘘穿刺过程中误伤肱动脉引起假性动脉瘤(pseudoaneurysm,PSA)的救治。既往PSA主要治疗方式包括外科切开修补、局部加压治疗、超声引导下瘤腔内注射凝血酶、覆膜支架植入、弹簧圈栓塞等方法,但均有一定缺陷。该患者因内瘘功能不良入院,彩超确诊肱动脉PSA形成,使用超声引导下球囊辅助注射外用冻干人纤维蛋白粘合剂成功治疗PSA。术后3个月回访患者,内瘘功能良好。The paper reports the treatment of a maintenance hemodialysis patient with pseudoaneurysm(PSA)caused by accidental injury of brachial artery during the puncture of internal fistula.The main treatment methods of PSA include surgical incision and repair,local pressure therapy,ultrasound-guided intraluminal thrombin injection,implantation of covered stent,coil embolization and so on,but they all have some defects.The patient was admitted to hospital due to poor fistula function,and the formation of brachial artery PSA was confirmed by color ultrasound.PSA was successfully treated with ultrasound-guided and balloon-assisted injection of human fibrin sealant.The fistula had good function 3 months after the operation.

关 键 词：肾透析 肱动脉 动脉瘤 假性 超声检查 外用冻干人纤维蛋白粘合剂 

分 类 号：R459.5[医药卫生—治疗学]