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자료유형
학술저널
저자정보
Hong, Soo Chung (Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine) Choi, Hwan Jun (Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine) Kim, Yong Bae (Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제1호
발행연도
2014.1
수록면
81 - 84 (4page)

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In this article, we present two cases of femoral pseudoaneurysm (PA) at the femoral arterial puncture site followed by necrotizing fasciitis, which is rare but can be fatal when not managed appropriately. PA was revealed by lower-extremity angiography and color-flow Doppler ultrasonography. Hematoma removal, thrombolysis, and bleeder ligation with Gelfoam were repeatedly performed by a vascular surgeon. When necrotizing fasciitis developed, aggressive surgical drainage and creation of a viable wound bed for reconstruction were mandatory. We adopted a vacuum-assisted closure device (Kinetics Concepts International) as the standard treatment for complicated, serious, infected PA of the puncture site. Excellent clinical outcomes were obtained.

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