使用Angio-Seal血管闭塞装置并发症及其管理
Mohd Shariq1, Krishna Prasad Bellam Premnath1, Ahmed Tarek Saleh1
1Department of Clinical and Interventional Radiology, Queens Hospital, Romford, United Kingdom.
Journal of clinical imaging science
|October 9, 2023
概括
血管闭塞装置 (VCD) 可能会导致罕见但严重的并发症,如肢体缺血和伪动脉瘤. 早期检测和管理,包括超声指导,对于预防肢体丧失至关重要.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 血管关闭装置 (VCD) 在内血管手术后广泛用于静血.
- 虽然VCD通常是安全的,但可能会导致不常见的并发症.
研究的目的:
- 报告和分析与Angio-Seal VCD使用相关的并发症.
- 讨论VCD相关并发症的机制,风险因素和管理策略.
主要方法:
- 病例系列报告了四名患有Angio-Seal VCD并发症的患者.
- 审查风险因素和管理策略,强调超声波的实用性.
主要成果:
- 四例Angio-Seal VCD并发症:三例急性四肢缺血 (两例动脉堵塞,一例脚板栓塞),一例伪动脉瘤和表面大腿动脉堵塞.
- 在所有报告的病例中,成功管理可以防止肢体损失.
结论:
- Angio-Seal VCD的使用可能会导致严重的并发症,包括肢体缺血和伪动脉瘤.
- 超声指导和仔细的患者选择对于VCD安全至关重要.
- 一个明确的管理策略,考虑内血管或手术选择,对于复杂的病例至关重要.
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