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Iatrogenic injury from vascular access and endovascular procedures.

机译:血管通路和血管内手术引起的医源性损伤。

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摘要

Endovascular procedures inevitably result in iatrogenic injury in a small percentage of patients. Appropriate choice of access site, careful technique, and selective use of closure devices may reduce the incidence of these complications. The vascular interventionalist should be able to recognize and manage various access site complications, such as pseudoaneurysm, arteriovenous fistula, and retroperitoneal hematoma. Procedural complications such as arterial dissection can often be repaired with endovascular techniques. Newer techniques such as totally percutaneous endovascular aneurysm repair have special considerations to minimize the risk of hemorrhage or limb ischemia. The purpose of this review is to define the more common endovascular complications, their diagnosis, and management.
机译:血管内手术不可避免地导致一小部分患者发生医源性损伤。适当选择进入部位,谨慎的技术和选择性使用闭合装置可减少这些并发症的发生。血管介入医师应能够识别和处理各种进入部位并发症,例如假性动脉瘤,动静脉瘘和腹膜后血肿。诸如动​​脉夹层的手术并发症通常可以通过血管内技术修复。诸如完全经皮血管内动脉瘤修复等较新的技术需要特别考虑,以最大程度地减少出血或肢体缺血的风险。这篇综述的目的是定义更常见的血管内并发症,其诊断和治疗方法。

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