透射性脑血管造影后的中骨和胸部血瘤:一个病例报告
1Department of Neurology, Meizhou People's Hospital, 63, Huangtang Road, Meijiang District, Meizhou City, Guangdong Province, 514031, China. tujiashan@sina.com.
BMC neurology
|October 7, 2024
概括
透射脑血管造影 (TRA) 很少会导致危及生命的血管穿孔,导致中血瘤. 及时检测和内血管封闭治疗对于成功的患者康复至关重要.
科学领域:
- 干预性神经辐射学
- 血管外科 血管外科
背景情况:
- 脑血管造影的超辐射方法 (TRA) 提供了较低的并发症率.
- 很少,TRA会导致严重的,危及生命的血管并发症.
研究的目的:
- 在TRA脑血管造影期间报告一个罕见的血管穿孔次要的中腔和胸腔血瘤病例.
- 突出早期发现和管理这些并发症的重要性.
主要方法:
- 一名56岁的女性接受了TRA脑血管造影,以检查脑梗塞和狭窄.
- 怀疑关节下动脉分支的穿孔导致紧急CT和血管造影.
- 使用凝泡粒和微线圈进行了内血管封闭治疗.
主要成果:
- 在手术过程中,患者出现了中腔和胸腔血瘤.
- 关节底动脉血管学证实了右侧宫干的穿孔分支.
- 成功的内血管封闭治疗导致了良好的康复.
结论:
- 在TRA脑血管造影期间的血管穿孔可能会导致显著的中腔和胸腔血液瘤.
- 谨慎的导线推进对于防止船只受伤至关重要.
- 早期诊断和及时干预是管理血管穿孔和血液瘤的关键.
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