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神经血管内介入手术经桡动脉入路时意外发生的胸廓内动脉穿孔

Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure.

作者信息

Abecassis Isaac Josh, Saini Vasu, Cohen Mauricio G, Yavagal Dileep R

机构信息

Department of Neurological Surgery, University of Miami, Miami, Florida, USA.

Department of Neurology, University of Miami, Miami, Florida, USA.

出版信息

JACC Case Rep. 2021 Apr 7;3(9):1187-1190. doi: 10.1016/j.jaccas.2021.03.010. eCollection 2021 Aug 4.

Abstract

During cerebral angiography via transradial access, the guidewire inadvertently entered the right internal mammary artery. This was not recognized because of its downward trajectory, and it was interpreted to be in the ascending aorta. Catheter manipulation perforated the right internal mammary artery, with development of pectoral hematoma. The perforation was sealed with coils and glue. .

摘要

在经桡动脉途径进行脑血管造影时,导丝意外进入右乳内动脉。由于其下行轨迹,当时未被识别,被误认为在升主动脉内。导管操作导致右乳内动脉穿孔,出现胸壁血肿。穿孔用弹簧圈和胶水封堵。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2980/8353564/6af441013eb8/gr1.jpg

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