心导管术的外周血管并发症

Peripheral vascular complications of cardiac catheterization

目的 探讨心导管术后外周血管并发症的发生率、原因和处理方法。方法 对 1745例次经股动脉 股静脉的心导管术患者的外周血管并发症及临床资料进行分析。结果 10 2例 (5 9% )患者发生外周血管并发症 ,其中穿刺部位单纯血肿 77例 (4 4% ) ,假性动脉瘤 4例 (0 2 3% ) ,动静脉瘘2例 (0 11% ) ,下肢动脉血栓形成 2例 (0 11% ) ,下肢静脉血栓形成 3例 (0 17% ) ,肺动脉栓塞 2例(0 11% ) ,穿刺部位外出血 13例 (0 74% ) ,死亡率 0 0 6 % ,需要外科处理的占 0 11%。结论 心导管术后外周血管并发症并不少见 ,大多数经内科处理预后良好。

Objective To explore the incidence, causes and management of peripheral vascular complications after cardiac catheterization Methods Cardiac catheter data and clinical data of 1?745 patients were reviewed Results One hundred and two patients (5 9%) had peripheral vascular complications, including local hematoma (77, 4 4%), pseudoaneurysm (4, 0 23%), arteriovenous fistula(2, 0 11%), femoral arterial thrombosis(2, 0 11%), femoral venous thrombosis (3, 0 17%), pulmonary thromboembolism (2, 0 11%), external hemorrhage(13, 0 74%) The mortality was 0 06% (1/1745), and the surgery repair rates 0 11% ( 2/1?745 ) Conclusion Peripheral vascular complications of cardiac catheterization is not so rare, and has a good prognosis after conservative management