Cowling M G, Belli A M, Buckenham T M
Department of Diagnostic Radiology, St. George's Hospital, London, United Kingdom.
Cardiovasc Intervent Radiol. 1996 Mar-Apr;19(2):82-4. doi: 10.1007/BF02563898.
To evaluate the value and complications of direct graft puncture in conducting interventional procedures in synthetic vascular bypass grafts.
We retrospectively reviewed 65 direct graft punctures in 50 patients undergoing a variety of interventional vascular procedures. In two patients the grafts were found to be infected and the procedures abandoned.
Complications encountered included hematomas that did not require treatment in three patients, and four hematomas requiring surgical drainage. One graft became infected (despite prophylactic cefuroxime), after three consecutive punctures over a 10-day period for a variety of interventions. All the patients who developed hematomas had undergone pharmacological thrombolysis.
Direct graft puncture is a relatively safe technique, with a minimal risk of infection and hemostatic complications attributable to thrombolysis. In 31 of the 41 patients undergoing successful thrombolysis, additional percutaneous procedures were undertaken, and these were facilitated by the direct graft puncture route.
评估在人工血管旁路移植术中直接穿刺移植血管进行介入操作的价值及并发症。
我们回顾性分析了50例接受各种血管介入手术患者的65次移植血管直接穿刺情况。发现2例患者的移植血管感染，手术放弃。
遇到的并发症包括3例无需治疗的血肿，以及4例需要手术引流的血肿。1例移植血管在10天内连续3次因各种干预进行穿刺后发生感染（尽管使用了预防性头孢呋辛）。所有发生血肿的患者均接受了药物溶栓治疗。
直接穿刺移植血管是一种相对安全的技术，因溶栓导致的感染和止血并发症风险极小。在41例成功进行溶栓的患者中，有31例进行了额外的经皮操作，而直接穿刺移植血管途径为这些操作提供了便利。
