Postoperative pseudoaneurysm involved in 5 cases the diagnosis and treatment.doc

 PAGE \* MERGEFORMAT 6 Postoperative pseudoaneurysm involved in 5 cases the diagnosis and treatment [Keywords:] Aneurysm With the launching of interventional technique, the incidence of pseudoaneurysm showing a rising trend. Are carried out in our hospital from 5 interventional procedures have occurred since the official holiday of the diagnosis and treatment of aneurysms. 1 Clinical data 1.1 General information on our hospital from October 2002 to May 2007 received 258 cases of the path through the femoral artery in the examination and treatment intervention (puncture method using the Seldinger method caused by false aneurysm in 5 cases. 1 male and 4 female. Age 48 ~ 72 years. including 3 cases of hypertension, diabetes mellitus in 2 cases. preoperative aspirin 100mg / d, clopidogrel 75mg / d. 1.2 Methods coronary angiography in 1 case, sheath removal of surgery, the local press for 30 minutes, 8 hours of salt bags of oppression, elastic bandage pressure bandage for 24 hours. Stent implantation in 4 cases, 4 hours after sheath removal tube, the local press for 30 minutes, 8 hours of salt bags oppression, elastic bandage pressure bandage for 48 hours. 1.3 Results after 24 hours of false aneurysm in 4 cases, 48 occurred within 72 hours pseudoaneurysm in 1 case. 1.4 All patients with bandage pressure processing method, the patient supine, the femoral artery puncture site re-compression for 60 minutes, press the degree of vascular murmur disappeared puncture site, intraoperative dorsal side of the arterial pulse can be touched, intraoperative limb skin temperature did not change No swelling, elastic compression bandage after 24 hours, some patients extended to 48 hours. including 3 cases 24 hours after the successful re-bandage healing re-wrapped 24 hours 2 patients with mild vascular murmur still continue to elastic bandage to 48 hours successful healing. Links to free paper download 2 Discussion Pseudoaneurysm is a more serious vasc