Abstracts from the 13th WINFOCUS World Congress on Ultrasound in Emergency & Critical Care
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چکیده
s from the 13th WINFOCUS World Congress on Ultrasound in Emergency & Critical Care Rosario, Argentina. 27–30 September 2017 Published: 21 December 2017 © The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. A1 Radial artery pseudoaneurysm diagnosed by point‐of‐care ultrasound five days after transradial catheterization: a case report Stephen Alerhand, Adam Nevel, Bret Nelson Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA; Department of Emergency Medicine, Mount Sinai Hospital, 1 Gustave L. Levy Place, New York, NY, 10029, USA Critical Ultrasound Journal 2017, 9(Supp 1):A1 Background: Though an extremely rare complication of arterial cannulation, the incidence of radial pseudoaneurysm may increase with the growing use of extended radial artery access for coronary angiography. Case report: A 57 year-old female presented to the emergency department with painful swelling to the volar radial surface of her right wrist 5 days after a non-emergent transradial coronary angiography. An emergency physician used point-of-care ultrasound to diagnose a radial artery pseudoaneurysm. The high-frequency linear transducer allowed visualization of the arterial wall defect and connection between artery and hematoma on B-mode, turbulent pulsatile flow into the adjacent hematoma using color flow Doppler, and a to-and-fro waveform at the wall defect using spectral Doppler. Due to the size and characteristics of the pseudoaneurysm, as well as her pain and mild distal sensory deficits, it was determined that the patient required prompt operative repair. Discussion: Bedside ultrasound is the most rapid and dynamic imaging modality for making diagnosing a radial artery pseudoaneurysm. Different techniques for treating this condition include conservative care, extended compression, thrombin injection, and surgery. Management primarily depends on the size of the pseudoaneurysm and its associated symptoms. Conclusion: In addition to understanding the pathophysiology and risk factors for this condition, the emergency physician must be adept at using point-of-care ultrasound to both make the diagnosis and characterize its findings to determine management. Consent for publication: The authors confirm that written informed consent was obtained for publication. A2 Type A thoracic aortic dissection suspected on resident performed bedside transthoracic echocardiography (TTE) in a patient with initial electrocardiogram (ECG) demonstrating an ST elevation myocardial infarction (STEMI) Michael Halperin, Felipe Serrano Department of Emergency Medicine, Jacobi & Montefiore Medical Centers, Bronx, NY, USA Critical Ultrasound Journal 2017, 9(Supp 1):A2 Case report: A middle-aged male with no past medical history presented to the emergency department with chest pain, shortness of breath, nausea, and vomiting for 3 h. Distressed and diaphoretic, his vital signs were: blood pressure 92/53 mmHg, pulse 112, respirations 26/min, Sp02 96% on room air. His ECG was concerning for STEMI in the left circumflex territory and the catheterization team was activated in the middle of the night. Point of care TTE showed left ventricular dysfunction and a dilated aortic root with concern for an intimal tear just superior to the aortic valve, suspicious for aortic dissection. Pointof-care-ultrasound (POCUS) findings prompted the mobilization of the cardiothoracic surgery team. An aortogram showed a devastating type A aortic dissection involving the coronary arteries including a likely occlusion of the left main.
منابع مشابه
Erratum to: 12th WINFOCUS world congress on ultrasound in emergency and critical care
© The Author(s) 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if c...
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عنوان ژورنال:
دوره 9 شماره
صفحات -
تاریخ انتشار 2017