Lazarides M K, Arvanitis D P, Liatas A C, Dayantas J N
Department of Vascular Surgery, Athens General Hospital, Greece.
Eur J Surg. 1991 Jan;157(1):17-20.
During a 6-year period 22 patients were operated on because of iatrogenic arterial trauma (group A) and 43 sustained noniatrogenic arterial injury (group B). The group A injuries were caused by various arterial catheterization procedures for angiography or cardiac investigation (55%) or surgical interventions (45%). Haemorrhage was more common in group B than in group A (p less than 0.001). The mortality rate did not differ significantly between the groups (14% vs. 9%). Permanent disability was more common in group B (p less than 0.05), due mainly to higher incidence of associated venous, neural, skeletal or visceral injuries. Bypass operations tended to be more often performed in group B than in group A, but the difference was not statistically significant. Retrospective assessment of the appropriateness of technique, made separately by two vascular surgeons, revealed instances of potentially avoidable iatrogenic arterial injury. The rising incidence of iatrogenic arterial trauma may therefore be considered 'reducible'.
在6年期间，22例患者因医源性动脉创伤接受手术（A组），43例遭受非医源性动脉损伤（B组）。A组损伤由用于血管造影或心脏检查的各种动脉导管插入术（55%）或外科手术干预（45%）引起。B组出血比A组更常见（p<0.001）。两组的死亡率无显著差异（14%对9%）。B组永久性残疾更常见（p<0.05），主要是由于相关静脉、神经、骨骼或内脏损伤的发生率较高。B组比A组更倾向于进行旁路手术，但差异无统计学意义。由两位血管外科医生分别对技术的适宜性进行回顾性评估，发现了一些可能避免的医源性动脉损伤病例。因此，医源性动脉创伤发病率的上升可被认为是“可降低的”。
