Forster T, Kardos A, Kiss E, Varga A, Gaál T, Csanády M
II. számú Belgyógyászati Klinika, Szent-Györgyi Albert Orvostudományi Egyetem, Szeged.
Orv Hetil. 1991 Dec 30;132(52):2897-9.
Two-hundred patients who underwent heart catheterization between 30 November 1989 and 30 September 1990, were followed up to establish the frequency of the vascular complications (mainly femoral pseudoaneurysm) of the procedure. Factors were evaluated which may promote the occurrence of femoral pseudoaneurysms. This complication was diagnosed in 6 cases. Two-dimensional and Doppler echocardiography (conventional and colour-coded) played an important role in the diagnosis. Systemic hypertension, anticoagulant therapy, obesity and technical difficulties (multiple punctures and catheter guidance problems) proved to be factors promoting femoral pseudoaneurysms. Serial echocardiograms revealed a tendency to spontaneous healing even in cases of relatively large pseudoaneurysms.
对1989年11月30日至1990年9月30日期间接受心脏导管插入术的200名患者进行随访,以确定该手术血管并发症(主要是股动脉假性动脉瘤)的发生率。评估了可能促使股动脉假性动脉瘤发生的因素。6例诊断出该并发症。二维和多普勒超声心动图(传统和彩色编码)在诊断中起重要作用。系统性高血压、抗凝治疗、肥胖和技术困难(多次穿刺和导管引导问题)被证明是促使股动脉假性动脉瘤发生的因素。系列超声心动图显示,即使是相对较大的假性动脉瘤病例也有自发愈合的趋势。