Division of Cardiovascular Diseases, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267, USA.
Catheter Cardiovasc Interv. 2012 Mar 1;79(4):633-7. doi: 10.1002/ccd.23097. Epub 2011 May 13.
Inferior epigastric artery injury after cardiac catheterization and percutaneous coronary intervention is sporadically reported in the literature, yet it is a serious complication that can lead to life-threatening retroperitoneal hemorrhage and poor clinical outcomes after percutaneous coronary intervention. We present two cases of inferior epigastric artery injury from inadvertent puncture during cardiac catheterization and a discussion in the management and prevention of this potentially fatal complication.
下腹部动脉损伤是心脏导管检查和经皮冠状动脉介入治疗后偶尔会出现的一种并发症,文献中时有报道,然而,这是一种严重的并发症,可能导致经皮冠状动脉介入治疗后危及生命的腹膜后出血和不良临床结局。我们报告了两例因心脏导管检查时意外穿刺导致的下腹部动脉损伤病例,并讨论了这种潜在致命并发症的处理和预防方法。