| A case of ultrasound-guided thrombin injection therapy for pseudoaneurysm caused by the hemostatic puncture closure device angio-seal. |
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고려대학교 의과대학 내과학교실 |
| 증례 : Angio-seal? 사용 후 발생한 가성 동맥류를 초음파 유도하 트롬빈 주입으로 치료한 1예 |
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황기원 |
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| Abstract |
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The Angio-seal closure device at femoral access sites is a quick, safe system that allows rapid healing of the vascular access site following performance of coronary angiography and interventional procedures. The occurrence of pseudoaneurysm after using Angio-seal is uncommon. Because of the possibility of surgical morbidity, ultrasound-guided thrombin injection therapy has recently been developed. We report here on our experience with an Angio-Seal associated pseudoaneurysm, which was successfully treated via ultrasound-guided thrombin injection. A 65-year-old patient received the Angio-seal after percutaneous coronary angiography through a right common femoral arterial puncture, and the patient developed shock and a pseudoaneurysm with hematoma at the peripuncture site. The ultrasound-guided therapy was performed and immediate thrombotic obliteration of the pseudoaneurysm occurred. Ultrasound-guided thrombin injection therapy may be considered for the initial treatment of Angio-Seal associated pseudoaneurysm.(Korean J Med 72:S181-S185, 2007)
Key Words : Angio-Seal, Pseudoaneurysm, Thrombin, Coronary angiography |
| Key Words:
Angio-Seal, Pseudoaneurysm, Thrombin, Coronary angiography |
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