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JNMA J Nepal Med Assoc ; 53(198): 130-3, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26994035

RESUMO

Central venous catheterization is a common diagnostic and therapeutic procedure in modern clinical practice. Pseudoaneurysms of the subclavian artery are rare and usually occur immediately after the causative event, whether the cause was trauma or a medical procedure. Here, we report a case of a 71-year-old woman with delayed presentation of catheter-related subclavian pseudoaneurysm. The patient's symptoms began two weeks after the initial catheterization, probably because of slow leakage of blood from the injured subclavian artery caused by incomplete compression of the puncture site and uremic coagulopathy. She was successfully treated with ultrasound-guided thrombin and angiography-guided histoacryl injection without stent insertion or surgery.


Assuntos
Falso Aneurisma/diagnóstico por imagem , Artéria Subclávia/diagnóstico por imagem , Idoso , Falso Aneurisma/etiologia , Falso Aneurisma/terapia , Angiografia , Cateterismo Venoso Central/efeitos adversos , Cateteres Venosos Centrais/efeitos adversos , Embucrilato/uso terapêutico , Feminino , Hemostáticos/uso terapêutico , Humanos , Injeções Intralesionais , Trombina/uso terapêutico , Adesivos Teciduais/uso terapêutico , Tomografia Computadorizada por Raios X , Ultrassonografia
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