股动脉穿刺并发证的初步研究

Preliminary study on the complications of femoral arery puncture

目的 :探讨股动脉穿刺点并发证产生的原因和解决办法。方法 :回顾性分析于 1994年 3月～ 2 0 0 2年 -8月期间的 67例股动脉穿刺点并发证资料。由两名有经验的介入医师对其原因进行共同分析 ,并达成一致意见。结果 :股动脉穿刺并发证的发生率为 0 . 71% ,其中大血肿 3 0例 ,股动脉血栓 12例 ,股动脉夹层血肿 11例 ,假性动脉瘤 10例 ,股动脉严重痉挛 2例 ,股动脉穿破 2例。结论 :虽然股动脉穿刺点并发证发生率较低 ,但一旦发生则会产生严重的后果。术中轻柔的操作、利用透视指导。

Objective:To analyze the causes of complications of fe moral artery punctue and explore its resolution.Methods:A retros p ective analysis of puncture site complications was made on 67 patients between M arch 1994 and August 2002.The causes of those complications were analyzed by two experienced intervention radiologists together and they formed a consensus in t erpretation.Result:The incidence of puncture site complications was 0 71%.Of the 67 patients,30 had femoral artery hematom,12 thrombi,11 dissec ting aneurysm,10 postcatheterization pseudoanesrysm,2 serious arterial spasm and 2 femoral artery perforation.Conclusion:Although the incidence rate of puucture site complication is low,the puncture site injuries may cause s erious sequelae.Gentle handling during operation,fluoroscopic guidance and metic ulous postoperative observation are essential to decrease those complications.