Melliere D, Castier Y, Becquemin J P, Cavillon A, Desgranges P
Service de Chirurgie Vasculaire, CHU Henri-Mondor, Créteil.
J Mal Vasc. 1996;21(3):141-7.
Assess the frequency, severity and technical problems raised by iatrogenic trauma to the arteries.
A retrospective study of 45 cases of iatrogenic arterial trauma treated over a 25-year period was studied.
The most frequent cause was arterial catheterization (n = 32 including 24 of the lower limbs and 8 for the upper limbs) performed for arteriography (n = 16), coronarography (n = 13) or endovascular therapy (n = 3). Thrombectomy was performed in 24 cases, bypass in 4 and endarterectomy in 4. Post-operative period was uneventful in all except two fatal cases.
In most cases, iatrogenic arterial trauma can be avoided with proper technique. Prognosis is highly dependent on early care.
评估医源性动脉创伤的发生频率、严重程度及引发的技术问题。
对25年间治疗的45例医源性动脉创伤病例进行回顾性研究。
最常见的原因是用于动脉造影（16例）、冠状动脉造影（13例）或血管内治疗（3例）的动脉插管（32例，包括下肢24例和上肢8例）。24例行血栓切除术，4例行搭桥术，4例行内膜切除术。除两例死亡病例外，所有患者术后情况均平稳。
在大多数情况下，采用适当技术可避免医源性动脉创伤。预后在很大程度上取决于早期治疗。
