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老年动脉造影术——风险与技术评估(作者译)

[Arteriography in old age--an assessment of the risks and technique (author's transl)].

作者信息

Koll P, Habighorst L V

出版信息

Rofo. 1978 Mar;128(3):323-7. doi: 10.1055/s-0029-1230853.

Abstract

Of 1,263 arteriograms performed over a period of two and a half years, there were 166 patients aged 70 years or more. The indications, angiographic findings and results have been examined retrospectively. In seven patients only was it impossible to carry out the examination because of advanced vascular disease in the pelvis. Most examinations could be performed as planned. In three patients there were minor complications without consequence. In one patient the external iliac artery was occluded following catheter angiography, but this was disobliterated during a subsequent operation which would have been carried out in case. The severity of vascular calcification as seen on plain films gives no indication regarding the difficulties during catheterisation. If aortography by catheter is impossible, we demonstrate the aorta retrogradely by a counter-current technique, using the Hettler instrument. The Hettler technique does not increase the risk and has certain advantages for the examination of older patients.

摘要

在两年半的时间里共进行了1263例动脉造影,其中有166例患者年龄在70岁及以上。对这些患者的适应症、血管造影结果及结局进行了回顾性研究。仅7例患者因骨盆血管疾病进展而无法进行检查。大多数检查能够按计划进行。3例患者出现轻微并发症但无不良后果。1例患者在导管血管造影后髂外动脉闭塞,但在随后的手术中再通,而该手术本来就是以防万一而进行的。平片上所见血管钙化的严重程度并不能提示导管插入过程中的困难程度。如果无法通过导管进行主动脉造影,我们使用赫特勒器械通过逆流技术逆行显示主动脉。赫特勒技术不会增加风险,对老年患者的检查有一定优势。

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