Mann S, Jones R I, Millar-Craig M W, Wood C, Gould B A, Raftery E B
Int J Cardiol. 1984 May;5(5):585-97. doi: 10.1016/0167-5273(84)90170-0.
Between 1973 and 1981 1000 successful studies involving ambulatory monitoring of intra-arterial blood pressure were performed using percutaneous cannulation of the brachial artery. We have reviewed the clinical effects of these studies and 35 other cases where attempted cannulation was unsuccessful. One major complication occurred, when an infected haematoma arising at the cannulation site led to the formation of a false aneurysm. In only one other case was distal pulsation diminished following the study. There were 157 reported "minor" complications in 122 studies, including haematoma, haemorrhage, transient paraesthesiae in median nerve territory, and evidence of micro-emboli. A limited study using pulsed wave Doppler ultrasound revealed no significant alteration in arterial lumen size or flow in 20 subjects. The procedure was therefore associated with a much smaller incidence of clinical problems than has been reported with other investigations involving cannulation of the brachial artery.
1973年至1981年间，采用经皮肱动脉插管法进行了1000项成功的动态动脉血压监测研究。我们回顾了这些研究的临床效果以及另外35例插管尝试未成功的病例。发生了1例主要并发症，即插管部位出现感染性血肿，导致假性动脉瘤形成。在另外仅1例病例中，研究后远端搏动减弱。在122项研究中有157例报告了“轻微”并发症，包括血肿、出血、正中神经区域短暂性感觉异常以及微栓子证据。一项使用脉冲波多普勒超声的有限研究显示，20名受试者的动脉管腔大小或血流无明显改变。因此，与其他涉及肱动脉插管的研究报告相比，该操作的临床问题发生率要低得多。
