患者患有 CREST 综合征，经桡动脉冠状动脉介入治疗后发生急性手部缺血和指尖离断。
Acute Hand Ischemia and Digital Amputation After Transradial Coronary Intervention in a Patient With CREST Syndrome.
机构信息
Michigan Heart & Vascular Specialists, McLaren Northern Michigan, Petoskey, Michigan 49770.
出版信息
Tex Heart Inst J. 2020 Aug 1;47(4):319-321. doi: 10.14503/THIJ-19-6988.
Abstract
The radial artery approach for coronary angiography and intervention is rapidly replacing the femoral artery approach, largely because it reduces bleeding and vascular access site complications. However, complications associated with transradial access warrant attention, notably radial artery occlusion. This report focuses on a case of radial artery occlusion after percutaneous coronary intervention in a 46-year-old woman with CREST (calcinosis, Raynaud phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia) syndrome, which ultimately led to acute hand ischemia necessitating amputation of her middle and index fingers.
摘要
经桡动脉入路行冠状动脉造影和介入治疗正在迅速取代股动脉入路，主要是因为它可以减少出血和血管入路部位的并发症。然而，与经桡动脉入路相关的并发症值得关注，特别是桡动脉闭塞。本报告重点介绍了一例 CREST（钙质沉着、雷诺现象、食管功能障碍、硬皮病和毛细血管扩张）综合征 46 岁女性患者经皮冠状动脉介入治疗后发生桡动脉闭塞的病例，最终导致急性手部缺血，需要截除中指和食指。
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