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医源性损伤后桡动脉真性动脉瘤并采用静脉移植进行成功重建。

True aneurysm of the radial artery after iatrogenic injury and successful reconstruction with an interposition vein graft.

作者信息

Coşkunfirat O Koray, Ozgentaş H Ege

机构信息

Department of Plastic and Reconstructive Surgery, Akdeniz University School of Medicine, Antalya, Turkey.

出版信息

J Reconstr Microsurg. 2003 Apr;19(3):143-6. doi: 10.1055/s-2003-39825.

Abstract

Aneurysm of the radial artery is rare and is usually seen after penetrating traumas. The radial artery is most affected at the distal part where it lies superficially. Iatrogenic injuries, such as catheter placement and arterial blood collection, are important interventions in hospitalized patients. In this paper, the authors present a case with a distal radial artery true aneurysm after prolonged radial artery catheterization. Although treatment of aneurysm of the radial artery is still controversial, they reconstructed the excised segment with an interposition vein graft, and recommend such vessel repair to maintain patency whenever possible.

摘要

桡动脉动脉瘤罕见,通常见于穿透性创伤后。桡动脉最常受累的部位是其浅表走行的远端。医源性损伤,如放置导管和采集动脉血,是住院患者的重要干预措施。在本文中,作者报告了1例长时间桡动脉置管后发生远端桡动脉真性动脉瘤的病例。尽管桡动脉动脉瘤的治疗仍存在争议,但他们采用静脉移植修复切除段,并建议尽可能进行血管修复以维持通畅。

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