1600例连续患者经桡动脉和尺动脉冠状动脉造影后的血管并发症

Vascular Complications Following Transradial and Transulnar Coronary Angiography in 1600 Consecutive Patients.

作者信息

Hahalis George, Tsigkas Grigorios, Kakkos Stavros, Panagopoulos Andreas, Tsota Irene, Davlouros Periklis, Xanthopoulou Ioanna, Koniari Ioanna, Grapsas Nikos, Christodoulou Ioannis, Almpanis George, Leopoulou Marianna, Kounis Nicholas, Alexopoulos Dimitrios

机构信息

Department of Cardiology, Patras University Hospital, Rio, Patras, Greece

Department of Cardiology, Patras University Hospital, Rio, Patras, Greece.

出版信息

Angiology. 2016 May;67(5):438-43. doi: 10.1177/0003319715592095. Epub 2015 Jun 29.

DOI:10.1177/0003319715592095

PMID:26124493

Abstract

BACKGROUND

Major, noncoronary complications are rarely encountered following transradial coronary procedures.

METHODS AND RESULTS

Among 1600 prospectively studied patients with complete follow-up, 7 patients experienced major complications following coronary forearm procedures corresponding to an incidence of 0.44%. We found inadvertent symptomatic intramyocardial contrast medium injection, 2 cases with compartment syndrome of which 1 was managed surgically, exertional hand ischemia due to radial artery occlusion, a large ulnar artery pseudoaneurysm, an ulnar arteriovenous fistula, and 1 critical hand ischemia due to late occlusion of the distal brachial artery.

CONCLUSIONS

Although infrequent, surveillance for major complications should be encouraged after forearm coronary procedures.

摘要

背景

经桡动脉冠状动脉介入术后很少发生严重的非冠状动脉并发症。

方法与结果

在1600例接受前瞻性研究且随访完整的患者中，7例在经桡动脉冠状动脉介入术后出现严重并发症，发生率为0.44%。我们发现了意外的有症状心肌内造影剂注射、2例骨筋膜室综合征（其中1例接受了手术治疗）、桡动脉闭塞导致的劳力性手部缺血、1例巨大尺动脉假性动脉瘤、1例尺动脉动静脉瘘以及1例因肱动脉远端晚期闭塞导致的严重手部缺血。