辅助手臂动脉在血管造影后引起延迟血管:详细分析病例报告
Kazuyuki Mikami1, Yoji Kuramoto2, Takahiro Kuroyama1
1Neurosurgery, Shinko Hospital, Kobe, JPN.
Cureus
|July 18, 2025
概括
透射脑血管造影可以导致延迟的数字动脉循环衰竭,如果一个辅助臂动脉被无意中访问,导致血管. 及时的动脉内血管扩张疗法有效地恢复了血液的流动,并解决了症状.
科学领域:
- 血管外科 血管外科
- 干预神经病学 干预神经病学
- 放射学 放射学是一门学科.
背景情况:
- 超射线接入是大脑血管造影的首选方法,因为它能提前行走,并减少了与输血管接入方式相比的接入部位并发症.
- 脑血管造影是诊断脑血管疾病的黄金标准.
研究的目的:
- 在透射性脑血管造影后报告延迟数字循环衰竭病例.
- 为了突出在程序期间访问异常船只的潜在风险.
- 为了强调血管扩张疗法在管理这种并发症方面的有效性.
主要方法:
- 一名70岁的女性患者接受了透射脑血管造影.
- 导管无意中进入了一个小的辅助手臂动脉,导致血管.
- 在手术后24-48小时出现了循环衰竭的症状.
- 进行了重复血管造影和静脉内尼特洛甘油的注射.
主要成果:
- 在手术后发生了数字动脉中延迟的外周循环衰竭.
- 观察到辐射动脉,手掌门和数字动脉的扩散.
- 静脉内尼特糖素迅速恢复了血液的流动,并解决了症状.
- 这种并发症与辅助手臂动脉的无意中插管有关.
结论:
- 在跨射线接入过程中无意中对辅助臂动脉进行管,可能导致延迟的数字循环衰竭.
- 早期的动脉内血管扩张疗法是这种并发症的有效治疗方法.
- 当在导管注射过程中遇到解剖异常和血管时,警观察至关重要.
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