经桡动脉脑介入术后复杂性区域疼痛综合征
Complex regional pain syndrome after transradial cerebral intervention.
作者信息
Walker Melanie, Levitt Michael R
机构信息
Department of Neurological Surgery and Stroke and Applied Neuroscience Center, University of Washington School of Medicine, Seattle, Washington, USA.
Department of Neurological Surgery, Radiology and Mechanical Engineering and Stroke and Applied Neuroscience Center, University of Washington, Seattle, Washington, USA.
出版信息
BMJ Case Rep. 2019 Dec 23;12(12):e015099. doi: 10.1136/bcr-2019-015099.
Access site complications from transradial approaches for endovascular interventions are uncommon and many are preventable. Complications described in the literature include hematoma, radial artery occlusion, vasospasm, and even compartment syndrome. Mild post-procedure discomfort reported by patients is typically self-limited and managed symptomatically with oral analgesics. Pain that has no obvious structural correlate and is unresponsive to intravenous narcotics is very unusual. We describe the diagnosis and management of a case of complex regional pain syndrome of the upper extremity after transradial stent-assisted coil embolization of a cerebral aneurysm.
经桡动脉途径进行血管内介入治疗的穿刺部位并发症并不常见，且许多是可预防的。文献中描述的并发症包括血肿、桡动脉闭塞、血管痉挛，甚至骨筋膜室综合征。患者术后报告的轻度不适通常为自限性，可通过口服镇痛药对症处理。无明显结构相关性且对静脉麻醉药无反应的疼痛非常罕见。我们描述了1例经桡动脉支架辅助弹簧圈栓塞脑动脉瘤后发生上肢复杂性区域疼痛综合征的诊断和治疗过程。
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