- 혈관조영술시의 천자부위 혈관 손상
- ㆍ 저자명
- 한상욱
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1996년|34권 5호|pp.589-594 (6 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Purpose: To evaluate the types, follow-up studies, and management of local vascular complications of the puncture site in transfemoral angiography. Materials and Methods : Fourteen patients who suffered local vascularcomplications during angiography of postangiographically were evaluated. We reviewed their clinical findings,radiological follow-up studies(Doppler-USG, angiography), treatment and final outcomes. Results: The complications were three cases of perforation which needed emergency treatment, three cases of thrombosis whichoccurred several hours after angiography, two cases of arteriovenous fistula and two cases of arteriovenous fistula combined with pseudoaneurysm which appeared a few days after angiography, and four cases of pseudoaneurysm that showed variable detection time, from a few days to several months. The causes of complication were faultypuncture sites, carelessness and vascular fragility due to underlying vascular diseases such as diabetes mellitus and atherosclerosis. The complications were evaluated by angiography or doppler-USG and eight cases were treated successfully by interventional methods(manual compression, USG-guided compression, coil embolization, thrombolysis). Five cases needed surgical intervention. It was decided not to treat one case, but only to observeit. Conclusion: Local vascular injuries are serious complications occurring during angiography or postangiographically. They may, however, be properly controlled by various interventional techniques. It is important to be aware of their occurrence, findings and method of management.