Journal of Yeungnam Medical Science
- Volume 31 Issue 1
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- Pages.17-20
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- 2014
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- 2799-8010(eISSN)
DOI QR Code
Non-surgical treatment of hemorrhagic shock caused by rupture of iatrogenic pseudoaneurysm
의인성 가성낭종 파열에 의한 출혈성 쇽의 비수술적 치료
-
Kim, Soon Young
(Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)
;
- Kim, Tae Jun (Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
- Na, Seong Kyun (Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
- Park, Seung Ah (Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
- Jung, Dong Min (Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
- Kim, Yong Kyun (Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
- Jo, Sang-Ho (Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)
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김순영
(한림대학교 의과대학 내과학교실, 한림대학교성심병원 내과)
;
- 김태준 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 내과) ;
- 나성균 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 내과) ;
- 박승아 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 내과) ;
- 정동민 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 내과) ;
- 김용균 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 내과) ;
- 조상호 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 내과)
- Received : 2013.06.26
- Accepted : 2013.08.09
- Published : 2014.06.30
Abstract
Iatrogenic femoral artery pseudoaneurysm is a complication in patients undergoing catheterization. The risk increased when large-bore sheaths, concomitant anticoagulation therapy, and antiplatelet therapy are used during the intervention. Ultrasound-guided thrombin injection has become the treatment of choice. Rapid expansion, rupture, infection, and mass effect resulting in distal or cutaneous ischaemia or peripheral neuropathy, as well as failure of other treatment options are all indications for surgery. We report a 48-year-old man who developed hemorrhagic shock due to femoral pseudoaneurysm rupture after coronary angiography, and successfully treated by ultrasound-guided thrombin injection.