桡动脉撕脱术外周介入治疗非手术方法:1例报告

Matthew R. Holland MD , Yolanda A. Ofori , Michael A. Sola MD , Stephen E. Dreyer MD , Shea E. Hogan MD, MSCS
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引用次数: 0

摘要

桡动脉撕脱是经桡动脉入路手术中一种罕见而严重的并发症,通常采用血管外科手术治疗。本病例报告描述了一位81岁的女性,由于症状性外周动脉疾病,在经皮下肢血运重建术中桡动脉撕脱,采用血管内入路治疗。手压前臂上侧,经股通道,将线圈送入桡动脉近端,止血。患者随后的治疗过程顺利,无临床后遗症。实施经桡骨通路的外科医生应熟悉潜在的并发症及其相关的管理策略,以确保患者的安全护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radial Artery Avulsion During Peripheral Intervention Managed With a Nonsurgical Approach: Case Report
Radial artery avulsion is an uncommon and serious complication of transradial artery approach, which is usually managed by vascular surgery. This case report describes an 81-year-old woman with radial artery avulsion during percutaneous lower extremity revascularization for symptomatic peripheral artery disease, which was managed using an endovascular approach. While holding manual pressure on the upper forearm, transfemoral access was obtained, and coils were delivered to the proximal radial artery, resulting in hemostasis. The patient’s subsequent course was uneventful and without clinical sequelae. Surgeons who perform transradial access should be familiar with potential complications and their associated management strategies to ensure safe patient care.
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CiteScore
1.40
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