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[视网膜失明作为颈动脉血管造影的一种并发症]

[Retinal blindness as a complication of carotid angiography].

作者信息

Stösslein F

出版信息

Zentralbl Neurochir. 1979;40(1):43-50.

PMID:484123
Abstract

Aortography and subsequent angiography of the A. carotis communis (Seldinger technique) was carried out in a 51-year-old man suffering from cerebrovascular insufficiency (transitory hemiparesis, disturbances in word finding). Complete interna occlusion from the carotid fork, no formation of collaterals in the ophthalmic artery region. After the last administration of the contrast medium loss of sight on the side of the carotid angiography (right side). Reappearing of retinal circulation only on the following day. Treatment with Radecol, Prednisolut, amyl nitrite. No return of slight, --Discussion of the two releasing possibilities; washing-in of embolic material and arterial spasms. A survey in the form of tables is given of nine similar complications which were found in the literature. Comprehensive bibliography.

摘要

对一名51岁患有脑血管供血不足(短暂性偏瘫、语言障碍)的男性进行了主动脉造影及随后的颈总动脉血管造影(Seldinger技术)。颈动脉分叉处完全闭塞,眼动脉区域无侧支循环形成。在最后一次注射造影剂后,颈动脉造影一侧(右侧)出现失明。仅在第二天视网膜循环才重新出现。使用了Radecol、Prednisolut、亚硝酸戊酯进行治疗。视力未恢复。——讨论了两种可能的发病机制;栓子物质的冲入和动脉痉挛。以表格形式列出了文献中发现的9例类似并发症。综合参考文献。

相似文献

1
[Retinal blindness as a complication of carotid angiography].[视网膜失明作为颈动脉血管造影的一种并发症]
Zentralbl Neurochir. 1979;40(1):43-50.
2
[Retinal artery occlusions following carotid angiography (author's transl)].
J Fr Ophtalmol. 1978 Feb;1(2):119-23.
3
Ipsilateral subclavian to external carotid and STA-MCA bypasses for retinal ischemia.用于视网膜缺血的同侧锁骨下动脉至颈外动脉及颞浅动脉-大脑中动脉搭桥术
Surg Neurol. 1978 Jan;9(1):5-8.
4
[Embolism of the central artery of the retina after carotid angiography].
Ann Ocul (Paris). 1972 Sep;205(9):993-1004.
5
Central retinal artery occlusion following transfemoral cerebral angiography.经股动脉脑血管造影术后视网膜中央动脉阻塞
Ann Ophthalmol. 1985 Jun;17(6):359-62.
6
Foreign body embolism of retinal arteries as a complication of carotid angiography.
Neuroradiology. 1978 Apr 27;15(2):85-8. doi: 10.1007/BF00334120.
7
[Decrease of complications in carotid and vertebral angiography].[颈动脉和椎动脉血管造影术中并发症的减少]
Wien Med Wochenschr. 1972 Nov 21;122(43):642-6.
8
[Acute retinal ischemia during carotid angiography in ophthalmic artery occlusion].
Nervenarzt. 1975 Nov;46(11):656-8.
9
[Embolism of the central retinal artery after carotid angiography].[颈动脉血管造影术后视网膜中央动脉栓塞]
Bull Soc Belge Ophtalmol. 1971 Nov 28;159:613-25.
10
[Pathomorphologic findings in cervical vessels and cerebral complications following direct (percutaneous) carotid angiography].[直接(经皮)颈动脉血管造影术后颈部血管的病理形态学表现及脑部并发症]
Zentralbl Neurochir. 1983;44(1):27-37.