浅析血管性介入治疗中出现的问题

Analysis of vascular interventional treatment

目的探讨血管性介入治疗中遇到的问题,分析其出现的原因,从而避免并发症,提高基本介入治疗技术。方法回顾性分析215例经血管性介入治疗患者的诊治资料。结果出现穿刺道周围血肿7例,经二次压迫止血成功;血管夹层3例,2例行经皮腔内血管成形术(PTA)夹闭假腔,1例住院观察后无不良反应;假性动脉瘤1例行局部加压包扎24 h后,无复发;导丝导管通过困难3例,2例引入长鞘管,1例改行肱动脉穿刺;动脉鞘插入困难2例,用尖刀片扩大皮肤切口后动脉鞘顺利置入。无死亡病例。结论扎实掌握介入治疗技术基本功,规范化应用介入治疗技术是避免或减少并发症的关键。

Objective To analyze the reasons of its emergence through the analysis of the problems encountered in the interventional treatment of vascular,thus avoiding the complications and improve the ability of basic interventional therapy.Methods Retrospective analysis of 215 cases of patients treated by vascular interventional diagnosis and treatment information.Which appeared around the hematoma puncture tract in 7 cases,3 cases of vascular dissection,pseudoaneurysm in one case,the guide wire catheter through the difficult three cases,two cases of arterial sheath insertion difficult.Results Hematoma around the puncture tract in 7 patients after secondary hemostasis success.Vessel dissection in 3 cases,2 cases PTA false lumen occlusion surgery.One case the hospital for observation after no adverse reactions.Pseudoaneurysm a routine local pressure dressing 24h later,without recurrence.Guide wire catheter through the difficult three cases,two cases of the introduction of a long sheath,one case diverted brachial artery puncture.Arterial sheath insertion difficulties in 2 cases,extend the skin incision with a sharp knife slice smoothly after arterial sheath placement.No deaths.Conclusion Solid grasp the key to interventional therapy basic,standardized application of interventional therapy is to avoid to avoid or reduce complications.