数字减影血管造影术的并发症:最初三年的经验

Serkan Ci̇vlan, Berk Burak Berker, Fatih Yakar, Eylem Teke, Erdal Çoşkun
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引用次数: 0

摘要

目的: 在本研究中,我们描述了在最初三年的工作经验中,我们在数字减影血管造影术(DSA)中遇到的并发症,并评估了患者人群中的风险因素。材料和方法:自2019年4月至2022年5月,我院通过数字减影血管造影术(DSA)确诊了507例不同病理过程的患者,并对其进行了回顾性评估。在血管造影过程中,记录了手术日期、患者年龄、性别、合并症、导管类型、使用导管数量以及所有与手术相关的并发症,即使这些并发症没有导致任何神经系统后遗症。并发症分为神经系统并发症、非神经系统并发症和局部并发症。研究结果我们的研究共纳入了 507 名患者。其中男性 256 人(50.5%),女性 251 人(49.5%)。患者的平均年龄为 49.2 岁(5-91 岁不等)。患者发病前最常见的并发症是高血压(22.5%)。在507名患者中,共有10名患者出现神经系统并发症、放射学并发症或血管部位相关并发症,总并发症发生率为0.02%。在 6 名出现神经系统并发症的患者中,3 人(0.6%)出现永久性神经功能缺损,3 人(0.6%)出现短暂性神经功能缺损。在 4 例出现非神经系统并发症的患者中,有 2 例出现无症状血管痉挛;1 例出现颈内动脉(ICA)夹层;1 例出现阴囊血肿。结论:DSA 术后并发症很少见,但必须了解患者的特点并确定适当的适应症,才能将并发症降至最低。虽然风险较低,但血栓栓塞等并发症可导致永久性神经功能缺损甚至死亡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dijital Çıkarma Anjiyografisinde Komplikasyonlar: İlk Üç Yıllık Deneyim
Purpose: In this study, we describe the complications we encountered during digital subtraction angiographies (DSA) in our initial three years of experience and evaluate the risk factors in our patient population. Materials and methods: A series of 507 patients with different pathological processes were diagnosed via digital subtraction angiography (DSA) in our institution from April 2019 through May 2022 and were retrospectively evaluated. During the angiography, the date of the procedure, patient age, gender, comorbidities, catheter types, number of catheters used, and all procedure-related complications were recorded, even if they did not cause any neurological sequelae. Complications were categorized as neurological, non-neurological, or local. Results: Our study included a total of 507 patients. Of these, 256 (50.5%) were male, and 251 (49.5%) were female. The mean age of patients was 49.2 years (range 5-91). The most preexisting comorbidity in patients was hypertension (22.5%). Of 507 patients, a total of 10 patients had either a neurological complication, radiological complication, or angio-site-related complication, and the overall rate of complications was 0.02%. In 6 patients with neurological complications, 3 (0.6%) had permanent neurological deficits, and 3 (0.6%) had transient deficits. In 4 patients with non-neurological complications, asymptomatic vasospasms were encountered in two cases; internal carotid artery (ICA) dissection was experienced in one case, and scrotal hematoma was observed in one case. Conclusion: Complications following DSA are rare but must be minimized with knowledge of the characteristics of the patients and determining the proper indication. Although the risk is low, complications such as thromboembolism can cause permanent neurological deficits and even death.
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