The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Deep Vein Thrombosis Following Ultrasound-Guided Compression of a Pseudoaneurysm

가성동맥류의 초음파 유도 압박법 시행 후 발생한 심부정맥 혈전증 1예

  • 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)
  • 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)
  • Received : 2012.12.05
  • Accepted : 2013.01.28
  • Published : 2013.12.01
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Abstract

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.

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.

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References

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