経皮的大腿動脈造影法の合併症

概要

論文の詳細を見る
Prospective studies on complications in transfemoral angiography were performed in 210 patients who were admitted to our clinic from 1973 to 1979. Major complications were recognized in three patients; one died with unknown cause and two suffered from femoral thromboembolism caused by rough manipulation and frequent punctures. On the other hand, minor complications demonstrated in 36 patients (17%) were as follow; arterial spasm (0.5%), hematoma of puncture site (5.7%), hypotention (5.7%), late bleeding (2.4%), and local infection (0.5%). In six patients (3%), arterial catheterization failed because of marked arteriosclerosis. As no anaphylactic shock was observed in the patients evaluated in the present report. The side effects of the contrast medium have been decreasing in recent years because of improved safety of it. It is reasonably concluded that these complications mentioned above are effectively avoided by careful manipulation and adequate fluid control during angiografic examination.
泌尿器科紀要刊行会の論文