Karmody A M, Zaman S N, Mirza R A, Bousvaros G
J Thorac Cardiovasc Surg. 1977 Jan;73(1):149-54.
In 84 patients the wrist pulses were lost after diagnostic left heart catheterization via the brachial artery. Sixty-six of these patients underwent surgical exploration of the brachial artery for restoration of pulsatile arterial flow to the hand. This aim was achieved in 64 instances. In all cases, the artery was found to be occluded by fresh thrombus. In 36 patients, balloon thrombectomy and accurate arterial closure were successful. In the remainder, in addition to thrombectomy, indentification of an area of damage to the arterial wall required additional surgical measures, usually in the form of resection and anastomosis. The surgical approach to this problem and the importance of the recognition and treatment of arterial wall damage by the catheter are stressed in this paper.
84例患者经肱动脉行诊断性左心导管检查后桡动脉搏动消失。其中66例患者接受了肱动脉手术探查，以恢复手部的搏动性动脉血流。64例达到了这一目的。所有病例中，均发现动脉被新鲜血栓阻塞。36例患者球囊取栓术和精确的动脉闭合术成功。其余患者除取栓术外，还需确认动脉壁损伤区域并采取额外的手术措施，通常采用切除和吻合的形式。本文强调了针对该问题的手术方法以及认识和处理导管所致动脉壁损伤的重要性。
