PDF(Pubmed)
Abstract：
UNASSIGNED: Arterial rupture is one of the rare but known and devastating complications of the angiogram, which can ultimately lead to loss of limb and life. Therefore, it is recommended that this complication be included in the consent form and that the operator and the logistics team be prepared for this scenario. Moreover, categorizing the patients based on risk factors to be more cautious during the procedure for high-risk patients can be considered a reasonable strategy.
UNASSIGNED: One of the rare but lethal complications of femoral artery catheterization for coronary angiography is arterial rupture, which can cause a range of negligible to massive retroperitoneal hemorrhage. This case presents a woman with unstable angina who underwent coronary catheterization. After arterial sheath placement, extravasation of blood from the right common iliac and lateral sacral arteries was seen, a diagnosis that has been reported rarely before. The bleeding was controlled with balloon inflation in the lateral sacral artery and a stent graft implantation in the right common iliac artery. The patient remained asymptomatic during the procedure and the short- and long-term follow-up. Interventional cardiologists and radiologists who access the femoral artery for any procedure should be aware of this possible event. Sometimes, this situation manifests with nonspecific symptoms such as weakness, lethargy, and pallor. Moreover, more logistical preparation and training are needed to overcome these unexpected conditions.
UNASSIGNED: One of the rare but lethal complications of femoral artery catheterization for coronary angiography is arterial rupture, which can cause a range of negligible to massive retroperitoneal hemorrhage. This case presents a woman with unstable angina who underwent coronary catheterization. After arterial sheath placement, extravasation of blood from the right common iliac and lateral sacral arteries was seen, a diagnosis that has been reported rarely before. The bleeding was controlled with balloon inflation in the lateral sacral artery and a stent graft implantation in the right common iliac artery. The patient remained asymptomatic during the procedure and the short- and long-term follow-up. Interventional cardiologists and radiologists who access the femoral artery for any procedure should be aware of this possible event. Sometimes, this situation manifests with nonspecific symptoms such as weakness, lethargy, and pallor. Moreover, more logistical preparation and training are needed to overcome these unexpected conditions.
摘要：
■动脉破裂是血管造影的罕见但已知和破坏性的并发症之一，最终会导致肢体丧失和生命。因此,建议将这种并发症包括在同意书中，并建议操作员和后勤团队为这种情况做好准备。此外，根据危险因素对患者进行分类，对于高危患者在手术过程中更加谨慎，可以认为是一种合理的策略。
用于冠状动脉造影的股动脉导管插入术的罕见但致命的并发症之一是动脉破裂，这可能会导致一系列可以忽略不计到大量的腹膜后出血。该病例介绍了一名患有不稳定型心绞痛的妇女，该妇女接受了冠状动脉导管插入术。动脉鞘放置后,可见右侧髂总动脉和骶外侧动脉的血液外渗，以前很少报道的诊断。通过在骶外侧动脉中进行球囊充气并在右髂总动脉中植入支架来控制出血。患者在手术和短期和长期随访期间保持无症状。介入的心脏病学家和放射科医生谁进入股动脉的任何程序应该知道这个可能的事件。有时候,这种情况表现为非特异性症状，如虚弱，嗜睡,脸色苍白.此外，需要更多的后勤准备和培训来克服这些意外情况。
用于冠状动脉造影的股动脉导管插入术的罕见但致命的并发症之一是动脉破裂，这可能会导致一系列可以忽略不计到大量的腹膜后出血。该病例介绍了一名患有不稳定型心绞痛的妇女，该妇女接受了冠状动脉导管插入术。动脉鞘放置后,可见右侧髂总动脉和骶外侧动脉的血液外渗，以前很少报道的诊断。通过在骶外侧动脉中进行球囊充气并在右髂总动脉中植入支架来控制出血。患者在手术和短期和长期随访期间保持无症状。介入的心脏病学家和放射科医生谁进入股动脉的任何程序应该知道这个可能的事件。有时候,这种情况表现为非特异性症状，如虚弱，嗜睡,脸色苍白.此外，需要更多的后勤准备和培训来克服这些意外情况。
