Mathews R A, Park S C, Neches W H, Fricker F J, Lenox C C, Zuberbuhler J R
Cathet Cardiovasc Diagn. 1979;5(1):67-74. doi: 10.1002/ccd.1810050109.
Twenty-two patients developed thrombosis of the lower abdominal portion of the inferior vena cava, iliac or femoral vein (IVT) after cardiac catheterization. All patients has at least one previous study from 1 day to 11 months of age (mean, 2 months) and seven had two catheterizations before discovery of IVT. Transposition of the great arteries was the most common defect associated with IVT (12/22, 55%). From one to seven catheter changes were made during the time of venous cannulation (mean, 105 minutes). No clinical evidence of IVT was present immediately after the preceding cardiac catheterization. The discovery of significant IVT usually necessitated the use of a vein from the upper extremity to complete the cardiac catheterization. IVT was associated with previous balloon atrial septostomy using either a Fogarty or Rashkind septostomy catheter in 13/22 patients (59%). In addition, 86% of the patients had either of these balloon catheters or a Swan-Ganz catheter used during a previous study. The potential development of IVT should be considered especially in cyanotic infants and small children in whom balloon catheters are used.
22例患者在心脏导管插入术后发生下腔静脉下腹段、髂静脉或股静脉血栓形成（IVT）。所有患者在1日至11个月龄（平均2个月）时至少有过一次既往检查，7例在发现IVT之前进行过两次导管插入术。大动脉转位是与IVT相关的最常见缺陷（12/22，55%）。在静脉插管期间进行了1至7次导管更换（平均105分钟）。在前一次心脏导管插入术后立即未出现IVT的临床证据。发现明显的IVT通常需要使用上肢静脉来完成心脏导管插入术。13/22例患者（59%）的IVT与既往使用Fogarty或Rashkind房间隔造口导管进行球囊房间隔造口术有关。此外，86%的患者在既往检查期间使用过这些球囊导管中的一种或Swan-Ganz导管。尤其是在使用球囊导管的青紫型婴儿和幼儿中，应考虑IVT的潜在发生。
