Mann J W, Davidson J T
Jefferson Surgical Clinic, Roanoke, Virginia 24016.
Am Surg. 1990 Sep;56(9):520-2.
Brachial artery thrombosis may be encountered after cardiac catheterization using the Sones technique. Differing opinions have been reported regarding the optimal management of this injury. During the past five years, 20 patients have had surgical repair of the brachial artery after trauma from cardiac catheterization. Satisfactory results have been obtained in the majority of cases with local arterial thrombectomy and debridement with vein patch angioplasty. Arterial resection or vein bypass was needed in unusual cases. This injury should be repaired acutely to avoid long-term functional disability in all patients who present with a pulseless upper extremity.
采用索内斯技术进行心脏导管插入术后可能会发生肱动脉血栓形成。关于这种损伤的最佳处理方法，已有不同观点的报道。在过去五年中，有20例患者在心脏导管插入术造成创伤后接受了肱动脉手术修复。在大多数病例中，通过局部动脉血栓切除术以及静脉补片血管成形术清创术取得了满意的效果。在特殊情况下需要进行动脉切除术或静脉搭桥术。对于所有出现上肢无脉的患者，应立即修复这种损伤，以避免长期功能残疾。
