Groome J, Vohra R, Cuschieri R J, Gilmour D G
Peripheral Vascular Unit, Royal Infirmary, Glasgow, UK.
Postgrad Med J. 1989 Feb;65(760):86-8. doi: 10.1136/pgmj.65.760.86.
Twenty-three cases of arterial injury after 8,208 arterial catheterizations for diagnostic or therapeutic indications at Glasgow Royal Infirmary are reviewed. Clinical presentation included haematoma formation, development of an acutely ischaemic limb or a false aneurysm. Patients with valvular heart disease are identified as a high risk group. Nine cases were managed by simple suture of the puncture site whereas thrombectomy and vein patch closure was required in 12 patients. The incidence of late complications requiring vascular reconstruction was 9%. The early recognition of complications after arterial catheterization and prompt referral to a specialized vascular unit is essential if morbidity is to be avoided.
回顾了格拉斯哥皇家医院8208例因诊断或治疗目的进行动脉导管插入术后发生的23例动脉损伤病例。临床表现包括血肿形成、急性肢体缺血或假性动脉瘤的形成。患有瓣膜性心脏病的患者被确定为高危人群。9例通过简单缝合穿刺部位进行处理，而12例患者需要进行血栓切除术和静脉补片修补术。需要血管重建的晚期并发症发生率为9%。如果要避免发病，动脉导管插入术后早期识别并发症并及时转诊至专业血管科室至关重要。
