대퇴동맥 가성동맥류의 풍선 차단법을 이용한 트롬빈 주입요법치료 1예

Abstract

Femoral artery pseudoaneurysm (FAP) is an uncommon but potentially serious vascular complication that may develop aftercardiac and peripheral angiographic procedures. Here we describe the case of a 75-year-old female who presented with a lifethreateningbleeding episode due to an FAP 4 days after diagnostic coronary angiography, which was treated with a percutaneousthrombin injection and transient balloon occlusion of the femoral artery during thrombin injection. This case reminds us of theimportance of close observation and proper evaluation for complications, even if the risk of bleeding complications is low. Furthermore, although ultrasound-guided compression and a percutaneous thrombin injection are the standard treatment for FAP,this case demonstrates that transient balloon dilation during the percutaneous injection of thrombin is an important treatment optionin cases of a wide-necked pseudoaneurysm in which the risk of thrombin escape is high.