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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。

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