外伤性动脉破裂的血管内治疗

Endovascular treatment of traumatic artery rupture

目的 探讨介入治疗在外伤性动脉破裂出血紧急情况下的使用价值。 方法 全组 76例均行股动脉穿刺插管选择性血管造影。明确诊断后 ,13例用气囊导管经血管腔内阻断血流后再行血管修补术 ;6 3例用固体栓塞材料闭塞受损伤的动脉。 结果 全组经血管内治疗出血立即停止 ,无并发症 ,无致残 ,无死亡。 结论 气囊导管阻断血流为血管修补手术提供了一条简单易行、安全可靠的术前措施 ;

Objective To study the endovascular treatment of artery rupture caused by injury on which surgery was impossibly performed. Methods All 76 patients underwent selective angiography to make accurate diagnosis. Endovascular occlusion of the target artery with a balloon catheter was accomplished and surgical vessel repair followed in 13 cases. Under the condition that the blood supply of the remote limb on which the artery rupture was detected remained normal, the injured artery was obstructed completely with either detachable balloon or coil in 63 cases. Results No complication, disability, or death was found in any case. Conclusions Occlusion of the blood flow of the target vessel with balloon catheter is an easy, effective and safe preoperational approach for patients who fail tobe treated perfectly with direct surgery.