...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Vascular and endovascular surgery >Complication rates of diagnostic angiography performed by vascular surgeons.
【24h】

Complication rates of diagnostic angiography performed by vascular surgeons.

机译：血管外科医生进行诊断性血管造影的并发症发生率。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The objective of this study was to compare the complication rates of diagnostic angiography performed by vascular surgeons to those previously published by interventional radiologists. From May 1999 through August 2000, 3 board-certified vascular surgeons performed 224 endovascular procedures in a modern endovascular suite. Of these 224 procedures, 144 were diagnostic angiographies. A retrospective chart review was conducted to identify periprocedural complications of these angiographies. The patients were classified into 3 groups according to the indication for angiography, and the major and overall complication rates were tabulated. The complication rates for the initial 25 and subsequent 119 arteriographies were compared to evaluate the presence of a learning curve. Thirty-eight percent of angiographies were performed to define aneurysmal anatomy (type I), 51% to define peripheral arterial stenosis or occlusion (type II), and 12% to assess symptomatic carotid artery disease or mesenteric ischemia (type III). The major complication rates for these 3 types were 0%, 2.7%, and 5.9%, respectively, and showed no statistical difference (Fischer's exact test) compared to published rates of 0.7%, 2.9%, and 9.1%. Major complications included an external iliac artery dissection, a cerebral air embolus, and a deep venous thrombosis. The overall major complication rate was 2.1%, which compares to published rates of 1.9-2.9%. The major complication rates for the initial 25 and final 119 were 8% and 0.8%, respectively. Vascular surgeons can perform diagnostic angiography with acceptable complication rates. The complication rate is reduced with angiographic experience.
机译：这项研究的目的是比较由血管外科医师进行的诊断性血管造影的并发症发生率与先前由介入放射科医生发表的那些并发症的发生率。从1999年5月到2000年8月，由3名获得董事会认证的血管外科医师在现代化的血管内套件中进行了224次血管内手术。在这224项手术中，有144项是诊断性血管造影。进行回顾性图表审查，以确定这些血管造影术的围手术期并发症。根据血管造影的适应症将患者分为三组，并列出主要和总体并发症发生率。比较最初的25个动脉造影和随后的119个动脉造影的并发症发生率，以评估学习曲线的存在。进行了38％的血管造影以定义动脉瘤解剖结构（I型），进行51％的定义为外周动脉狭窄或闭塞（II型），以及评估有症状的颈动脉疾病或肠系膜缺血（III型）为12％。这三种类型的主要并发症发生率分别为0％，2.7％和5.9％，与公布的0.7％，2.9％和9.1％相比，无统计学差异（Fischer精确检验）。主要并发症包括an外动脉解剖，脑气栓和深静脉血栓形成。总体主要并发症发生率为2.1％，而公布的比率为1.9-2.9％。最初25例和最终119例的主要并发症发生率分别为8％和0.8％。血管外科医师可以以可接受的并发症发生率进行诊断性血管造影。血管造影经验可降低并发症发生率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号