312例全脑血管造影术并发症分析及文献复习

Cerebral Angiography of 312 Cases Analysis of Complications

目的探讨全脑血管造影术并发症发生机制及治疗方法。方法回顾性分析312例全脑血管造影术的结果,并对出现并发症的原因进行分析并进行文献复习。结果312例全脑血管造影术共4例发生并发症,发生率为1.28%,其中穿刺点皮下血肿2例,股动脉假性动脉瘤1例,皮质盲1例,无术中其他并发症出现,在造影过程中无死亡病例。结论脑血管造影并发症的发生率低,要降低脑血管造影的并发症,除提高术者的熟练程度外降低并发症外,还应严密观察,一旦发生应选择合理方法及时有效处理。

Objective To discuss the mechanisms and therapies of complication of digital subtraction cerebral angiography.Methods Retrospectively analysed 312 cases'results and reasons of complication of digital subtraction cerebral angiography,and reviewed the literature.Results There were 4 cases happened complication of 312 cases,the incidence rate was 1.28%,2 case were subcutaneous hematoma of siteofparacentesis,1 was pseudoaneurysms of femoral artery,another was Transient cortical blindness.There no were others complication happened,and no death case.Conclusion Digital subtraction cerebral angiography with low complication rate.Besides improving proficiency of performer so as to decrease complications,Tight observation,timely and ef ective treatment were needed.