门诊经股动脉血管造影术，观察期为两小时。

Outpatient transfemoral angiography with a two-hour observation period.

作者信息

Millward S F, Marsh J I, Peterson R A

机构信息

Department of Radiological Sciences, Ottawa Civic Hospital, Ontario, Canada.

出版信息

Cardiovasc Intervent Radiol. 1989 Sep-Oct;12(5):290-1. doi: 10.1007/BF02575419.

DOI:10.1007/BF02575419

PMID:2514993

Abstract

A study was undertaken to determine whether reducing needle size would reduce the complication rate of outpatient angiography with 4F catheters. One hundred fifty-two patients were randomized. An 18-gauge needle was used in 51, a 20-gauge in 50, and a 21-gauge in 51. Patients were observed for 2 h. No patients deteriorated after discharge. None of the 18-gauge patients developed a hematoma. Four percent of the 20-gauge and 2% of the 21-gauge patients had mild hematomas. This suggests that outpatient angiography using 4F catheters and 2 h of observation is safe. Increased safety with 20 or 21-gauge needles was not confirmed.

摘要

开展了一项研究，以确定减小针头尺寸是否会降低使用4F导管进行门诊血管造影的并发症发生率。152名患者被随机分组。51名患者使用18号针头，50名使用20号针头，51名使用21号针头。对患者观察2小时。出院后没有患者病情恶化。使用18号针头的患者均未出现血肿。使用20号针头的患者中有4%出现轻度血肿，使用21号针头的患者中有2%出现轻度血肿。这表明使用4F导管并观察2小时进行门诊血管造影是安全的。未证实使用20号或21号针头会增加安全性。