Interv Akut Kardiol. 2004;3(3):128-130

Diagnostika a léčba postkatetrizačních pseudoaneuryzmat

Martin Tuna1, Miroslav Brtko1, Jan Raupach2, Vendelín Chovanec2, Jan Fridrich1
1 Kardiochirurgická klinika LF UK a Kardiocentrum FN Hradec Králové
2 Radiologická klinika FN a LF UK Hradec Králové

Keywords: pseudoaneurysm, thrombin, ultrasonography.

Published: December 31, 2004  Show citation

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Tuna M, Brtko M, Raupach J, Chovanec V, Fridrich J. Diagnostika a léčba postkatetrizačních pseudoaneuryzmat. Interv Akut Kardiol. 2004;3(3):128-130.

Pseudoaneuryzma (PSA) femorální tepny je spolu s hematomy nejčastější lokální komplikací v oblasti třísla po katetrizačních výkonech. Vzniká v udávané incidenci 0,1-5,5?%. Rizikem nerozpoznaného a neléčeného PSA je jeho zvětšování a ruptura s krvácením. V diagnostice PSA má suverénní postavení ultrasonografie, která hraje důležitou roli i v jeho léčbě: při kompresi pod ultrazvukovou kontrolou a při perkutánní aplikaci trombinu do vaku PSA. Chirurgická léčba dnes zůstává vyhrazena jen pro extrémně velká a komplikovaná pseudoaneuryzmata.

DIAGNOSTICS AND TREATMENT OF POSTCATHETERIZATION PSEUDOANEURYSMS

Femoral artery pseudoaneurysm (PSA) is together with a haematoma the most frequent local complication of the catheterization procedure in the groin with the incidence of 0.1-5.5?%. The risk of unrecognized and untreated PSA is its extension and rupture with bleeding. Ultrasonography is a sovereign method in diagnostic of PSA and plays a key role in the treatment of PSA - ultrasonography guided compression and percutaneous injection of trombin into the PSA. Surgical treatment is reserved only for extremely large and complicated pseudoaneurysms at present.

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