Da Silva J R, Eckstein M R, Kelemouridis V, Waltman A C, Brewster D C, Abbott W M, Athanasoulis C A
J Vasc Surg. 1984 Sep;1(5):642-5. doi: 10.1067/mva.1984.avs0010642.
To assess the safety of percutaneous puncture for the angiographic study of aortofemoral bypass grafts, we reviewed the medical records of 58 patients who underwent a total of 86 graft punctures. Short- and long-term follow-up revealed that in 83 punctures there were no complications. In three instances (3.5%) there was acute thrombosis of the punctured limb of the graft. This complication may have expedited but did not substantially alter the surgical plans of managing the underlying clinical problem. Although the incidence of complications of direct graft puncture is higher than that associated with puncture of native vessels, alternative approaches are also associated with complications, many of which may be more serious. Therefore, for angiographic studies of patients with aortofemoral bypass grafts, we favor the direct percutaneous puncture provided that enough time has elapsed from surgery.
为评估经皮穿刺用于主动脉股动脉搭桥移植物血管造影研究的安全性，我们回顾了58例患者的病历，这些患者共接受了86次移植物穿刺。短期和长期随访显示，83次穿刺未出现并发症。在3例（3.5%）中，移植物穿刺肢体出现急性血栓形成。这种并发症可能加快了，但并未实质性改变处理潜在临床问题的手术计划。尽管直接移植物穿刺的并发症发生率高于天然血管穿刺，但其他方法也会出现并发症，其中许多可能更严重。因此，对于主动脉股动脉搭桥移植物患者的血管造影研究，只要手术已过去足够长的时间，我们倾向于直接经皮穿刺。
