CAJ | 학술논문

目的：探讨高龄患者数字减影血管造影技术的操作要点，相关并发症及术后处理。方法32例60岁以上患者局部麻醉下经股动脉穿刺置入中长鞘，先使用灌洗导管行胸主动脉弓造影，15例用单弯导管，17例用复杂弯曲导管进行全脑血管造影。结果32例完成造影，其中24例有阳性发现，8例阴性。6例发现椎动脉开口或颈内动脉有狭窄，3例术中出现不同程度血管痉挛，1例造影术后病情加重考虑有再出血。结论高龄患者常有基础疾病，血管狭窄迂曲多见，手术风险及操作难度较大。但在规范操作的基础上，全脑血管造影术是安全的，并发症较低。
목적：탐토고령환자수자감영혈관조영기술적조작요점，상관병발증급술후처리。방법32례60세이상환자국부마취하경고동맥천자치입중장초，선사용관세도관행흉주동맥궁조영，15례용단만도관，17례용복잡만곡도관진행전뇌혈관조영。결과32례완성조영，기중24례유양성발현，8례음성。6례발현추동맥개구혹경내동맥유협착，3례술중출현불동정도혈관경련，1례조영술후병정가중고필유재출혈。결론고령환자상유기출질병，혈관협착우곡다견，수술풍험급조작난도교대。단재규범조작적기출상，전뇌혈관조영술시안전적，병발증교저。
Objective To explore the operation points and postoperative complications of the elderly patients with cerebral digital subtraction angiography. Methods Thirty-two patients over 60 years did cerebral angiography under local anesthesia puncturing into the femoral artery in the sheath with a single curved or complex curved catheter. Results Thirty-two patients completed the imaging, 24 patients had positive findings, 8 cases were negative. Conclusion Elderly patients often have basic diseases, common vascular tortuosity,surgical risk and difficult operation.but on the basis of standard operation,the cerebral angiography is safe,and the incidence of complication is low.