Molpus W M, McCowan T C, Eidt J F
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock.
South Med J. 1991 Sep;84(9):1138-9. doi: 10.1097/00007611-199109000-00020.
Transluminal angioplasty, particularly of stenoses of the iliofemoral arteries, is an excellent technique with a success rate greater than 90%, an overall complication rate of less than 5%, and a low incidence of major complications. Of these major complications, arterial rupture is one of the most urgent. We have presented a case of external iliac artery rupture during angioplasty that graphically demonstrates the value of balloon tamponade in managing this potentially catastrophic event. The angiographer's sensitivity to the possibility of arterial rupture and prompt management, combined with close collaboration with the vascular surgeon, can lead to a good clinical outcome.
腔内血管成形术，尤其是针对髂股动脉狭窄的血管成形术，是一项出色的技术，成功率超过90%，总体并发症发生率低于5%，严重并发症的发生率较低。在这些严重并发症中，动脉破裂是最紧急的情况之一。我们报告了一例血管成形术期间髂外动脉破裂的病例，该病例形象地展示了球囊填塞在处理这一潜在灾难性事件中的价值。血管造影师对动脉破裂可能性的敏感性及及时处理，再加上与血管外科医生的密切协作，可带来良好的临床结果。
