Pseudoaneurysm of the lingual artery after temperature-controlled radiofrequency tongue base reduction:: A severe complication
Pseudoaneurysm of the lingual artery after temperature-controlled radiofrequency tongue base reduction:: A severe complication
复制标题
DOI：
10.1097/01.mlg.0000200795.12919.6a
复制
发表时间：
2006-04-01
期刊：
影响因子：
2.6
通讯作者：
Hosemann, W
中科院分区：
文献类型：
--
作者：
Herzog, M;Schmidt, A;Hosemann, W
舌根温控射频消融（TCRF）已被开发为治疗阻塞性睡眠呼吸暂停综合征患者的替代选择。该技术被宣传为一种简单且安全的手术方法。据报道，一名 34 岁男性阻塞性睡眠呼吸暂停综合征患者接受了 TCRF 治疗。手术后十四天，舌根部出现大量出血。计算机断层扫描和数字减影血管造影显示舌动脉存在假性动脉瘤，在同一疗程中使用可拆卸且游离的铂弹簧圈进行血管内治疗。本文报道了第一例舌根 TCRF 下的假性动脉瘤病例，并讨论了该治疗方法下处理和避免危及生命的并发症的诊断和治疗程序。
Temperature-controlled radiofrequency reduction (TCRF) of the tongue base has been developed as an alternative option for the treatment of patients with obstructive sleep apnea syndrome. The technique is propagated as an easy and safe surgical method. The case of a 34-year-old male patient with obstructive sleep apnea syndrome who underwent TCRF is reported. Fourteen days after surgery was performed, heavy bleeding at the base of the tongue occurred. Computed tomography and digital subtraction angiography imaging revealed a pseudoaneurysm of the lingual artery, which was treated endovascularly by detachable and free platinum coils during the same session. The article reports the first case of pseudoaneurysm under TCRF of the tongue base and discusses the diagnostic and therapeutic procedure to handle and avoid life-threatening complications under this method of treatment.