Perclose ProGlide®引起的感染性动脉瘤的外科治疗：病例研究
Surgical Treatment for an Infectious Aneurysm Caused by Perclose ProGlide®: A Case Study.
摘要(中文译文)
近年来，冠状动脉治疗已从经腹股沟途径转向并发症更少的经桡动脉途径。然而，在透析患者中，腹股沟途径仍常被使用。腹股沟穿刺后，根据各自的特点使用血管闭合装置（VCDs），如ANGIO-SEAL®（Terumo，东京，日本）、EXOSEAL®（Hialeah，Miami Lakes，FL）和Perclose ProGlide®（Abbott Vascular Device，Santa Clara，CA）。本报告介绍一例61岁男性维持性透析患者，在接受医学检查时发现心电图异常。随后行导管检查，发现三支血管病变，建议行冠状动脉旁路移植术（CABG）。然而，应患者要求，改为行经皮冠状动脉腔内血管成形术（PTCA）。该患者分三次接受冠状动脉治疗；在第三次治疗中，采用右侧腹股沟区入路，治疗后使用Perclose ProGlide®进行血管闭合。然而，四天后患者出现右下肢瘫痪，返回我科，检查发现其炎症水平较高，血培养检出甲氧西林敏感金黄色葡萄球菌（MSSA），计算机断层扫描（CT）显示右侧腹股沟区假性动脉瘤。因此，患者被诊断为感染性假性动脉瘤，并转至另一家医院接受手术治疗。在此，我们报告一例因使用血管闭合装置而需要手术治疗的感染性假性动脉瘤病例。
Abstract
In recent years, there has been a shift from the inguinal approach to coronary artery treatment to the radial approach, which has fewer complications. However, the inguinal approach is still often used in cases of dialysis. Following inguinal puncture, vascular closure devices (VCDs) such as ANGIO-SEAL® (Terumo, Tokyo, Japan), EXOSEAL® (Hialeah, Miami Lakes, FL), and Perclose ProGlide® (Abbott Vascular Device, Santa Clara, CA) are used according to their various characteristics. In this report, a 61-year-old male patient supported by maintenance dialysis underwent a medical examination, whereupon an abnormal electrocardiogram was produced. When a catheter was then implemented, three-vessel disease was found, and coronary artery bypass grafting (CABG) was recommended. However, upon the patient's request, percutaneous coronary transluminal angioplasty (PTCA) was instead performed. The patient underwent coronary artery treatment across three sessions; in the third session, an approach from the right inguinal region was taken, and Perclose ProGlide® was used for vascular closure following treatment. However, paralysis of the right lower limb occurred four days later, and the patient returned to our department, where he was found to have high inflammation levels, methicillin-susceptible (MSSA) in a blood culture, and a pseudoaneurysm in the right inguinal region as indicated by a computed tomography (CT) scan. Thus, the patient was diagnosed with an infectious pseudoaneurysm and transferred to another hospital for surgical treatment. Here, we report on a case of an infectious pseudoaneurysm that required surgery with a vascular closure device.
如何引用
AMA
Yasutaka Imamura, Hiroshi Sasajima, Kazuho Kamishima, Kazuhito Suzuki. Surgical Treatment for an Infectious Aneurysm Caused by Perclose ProGlide®: A Case Study.. Cureus. 2026; doi:10.7759/cureus.107060.
APA
Yasutaka Imamura, Hiroshi Sasajima, Kazuho Kamishima, Kazuhito Suzuki (2026). Surgical Treatment for an Infectious Aneurysm Caused by Perclose ProGlide®: A Case Study.. Cureus. https://doi.org/10.7759/cureus.107060
GB/T 7714
Yasutaka Imamura, Hiroshi Sasajima, Kazuho Kamishima, Kazuhito Suzuki. Surgical Treatment for an Infectious Aneurysm Caused by Perclose ProGlide®: A Case Study.[J]. Cureus, 2026 doi:10.7759/cureus.107060.
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