Steckenmesser R, Sauerwein H
MMW Munch Med Wochenschr. 1977 Oct 14;119(41):1339-42.
Four cases of restricted circulation were found during follow-up examination of 42 infants after arteriography. In 3 of the 4 patients with restricted circulation, arteriotomy with vascular suture had preceded or had been performed in direct association with the arteriography. This strengthened the suspicion that such additional manipulations increase the risk of restricted circulation as a sequel to arteriography. Restricted circulation following Seldinger's method of transfemoral arteriography in children occurs more frequently than would be assumed from the collected statistics. The indication for angiography in infancy must be strictly given, for this reason.
在对42例婴儿进行动脉造影术后的随访检查中,发现4例出现循环受限情况。在这4例循环受限的患者中,有3例在动脉造影术前或与动脉造影直接相关的情况下进行了动脉切开血管缝合术。这进一步强化了一种怀疑,即此类额外操作会增加动脉造影术后发生循环受限的风险。儿童经股动脉采用Seldinger法进行动脉造影术后出现循环受限的情况比收集到的统计数据所显示的更为常见。因此,婴儿期血管造影的指征必须严格把握。