Treatment in limbs iatrogenic pseudoaneurysm:A report of 22 cases
Abstract：Objective To explore the clinical effect of the treatment in limbs iatrogenic pseudoaneurysm of different types. Methods A total of 22 cases of iatrogenic pseudoaneurysm in limbs admitted in the People’s Hospital of Liaoning Province from 2010 to 2013. According to the diameter of iatrogenic pseudoaneurysm and the size of tear, pseudoaneurysm were divided intoⅠ,Ⅱa,Ⅱb and Ⅲ type,in which 15 cases were type I ( the diameter of pseudoaneurysm was less than 3cm),treated with braking,elastic bandage. Two cases were type Ⅱa ( the diameter of pseudoaneurysm was more than 3cm and the tear was less than 2cm),treated with temporary block by balloon and injecting the thrombin into the blood vessel. Two cases were typeⅡb ( the diameter of pseudoaneurysm was more than 3cm and the tear was more than 2cm) treated by endovascular repair with covered stents. Three cases were type Ⅲ(infectious pseudoaneurysm) treated by endovascular repair with covered stents. The first phase was debridement and drainage of abscess. The second phase was sewing up the wound. All the cases were followed up for 6 to 32 months. Results A total of 14 cases were successful for the all 15 cases of type I.The failure was treated by endovascular repair with covered stents. The cases of typeⅡwere all successful. For the cases of typeⅢ, the tear of pseudoaneurysm were all healed by first intention and cuts all healed well within three months. All the cases had an average follow-up of 22.3 months. No recurrence,no endoleaks, no stent migration,no fracture and other complications occurred. Conclusion Surgeons can treat pseudoaneurysm more effective with minimal cost,by choosing the treatment strategy based on the different types of pseudoaneurysm.
Keywords：pseudoaneurysmcovered stent
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1302-1304 )