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KMID : 0370920140310010017
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Yeungnam Univercity Journal of Medicine
2014 Volume.31 No. 1 p.17 ~ p.20
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Non-surgical treatment of hemorrhagic shock caused by rupture of iatrogenic pseudoaneurysm
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Kim Soon-Young
Kim Tae-Jun
Na Seong-Kyun
Park Seung-Ah
Jung Dong-Min
Kim Yong-Kyun
Jo Sang-Ho
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Abstract
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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-yearold man who developed hemorrhagic shock due to femoral pseudoaneurysm rupture after coronary angiography, and successfully treated by ultrasound-guided thrombin injection.
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KEYWORD
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Pseudoaneurysm, Hemorrhagic shock, Hemodialysis
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