冠脉造影术中肱动脉穿刺的常见并发症及处理

Common complications and correspond treatment methods of tansbrachial approach in coronary angiography

目的探讨冠脉造影术中肱动脉穿刺的常见并发症及其处理、预防措施,以降低肱动脉穿刺并发症发生率。方法回顾性分析2016年6月至2017年1月我院经肱动脉入路行冠脉造影出现的17例肱动脉穿刺并发症患者的临床资料,分析肱动脉穿刺常见并发症、形成原因、处理方法及预防措施。结果 17例并发症患者中局部血肿13例,假性动脉瘤3例,正中神经损伤1例。经相应对症处理后,所有患者均术后恢复。结论局部血肿为肱动脉穿刺常见并发症,熟悉肱动脉解剖结构、规范肱动脉穿刺及压迫止血技术、严密动态观察患者术后患肢情况,可以降低肱动脉穿刺并发症的发生。

Objective To explore lhe common complications and correspond treatment methods of lransbrachial approach in coronary angiography, lo reduce lhe incidence of complications. Methods From June 2016 lo January 2017, lhe clinical data of 17 palienls with complications of tansbrachial approach in coronary angiography was retrospectively analyzed, lhe common complications of lransbrachial approach, reasons of complications, treatments methods and prevention measures of complications were analyzed. Results Among lhe 17 palienls with complications of tansbrachial approach in coronary angiography, there were 13 cases of local hematoma, 3 cases of femoral artery pseudoaneurysm and 1 case of median nerve injury. After lhe corresponding symptomatic treatment, all palienls recovered. Conclusion Local hematoma is lhe main complications of tansbrachial approach in coronary angiography. Fully understanding lhe anatomical characteristics of lhe brachial artery, standard skills of tansbrachial approach and compression hemostasis, slriclly dynamic observation of palienls＇ limb after surgery can reduce lhe complications of tansbrachial approach.