Karhunen P J, Männikkö A, Penttilä A, Liesto K
Department of Forensic Medicine, University of Helsinki, Finland.
Am J Forensic Med Pathol. 1989 Dec;10(4):303-9. doi: 10.1097/00000433-198912000-00006.
Postmortem angiography was used as a diagnostic tool to rule out surgical malpractice in 227 medicolegal autopsies following postoperative deaths in Finland. Of the cases, 111 involved neurosurgical patients or patients undergoing operations on the carotid arteries, 62 involved coronary bypass patients, and 54 patients died following abdominal surgery. A portable perfusion device for postmortem angiography at the autopsy table involves attaching quick couplings to a compressed airline. Permanent cast and three-dimensional topographic assessment of vascular anatomy are achieved using solidifying silicone rubber with lead oxide as a contrast medium and stereopair radiographs. This technique can be performed by experienced autopsy technicians and can be linked to normal autopsy services. In our experience, postmortem angiography is useful in investigating all complicated deaths following surgical operations.
在芬兰，尸检血管造影术被用作一种诊断工具，以排除术后死亡的227例法医学尸检中的手术失误。其中，111例涉及神经外科患者或接受颈动脉手术的患者，62例涉及冠状动脉搭桥患者，54例患者在腹部手术后死亡。用于尸检台尸检血管造影的便携式灌注装置包括将快速接头连接到压缩空气管道上。使用以氧化铅作为造影剂的固化硅橡胶和立体对X线片，可实现对血管解剖结构的永久铸型和三维地形评估。该技术可由经验丰富的尸检技术人员进行，并且可与常规尸检服务相衔接。根据我们的经验，尸检血管造影术对于调查所有手术后的复杂死亡情况很有用。
