retroperitoneal hematoma after cardiac catheterization
Chapter cardiac catheterization and Countermeasures Basic Operation FAQPercutaneous interventional procedures of the most common complications are local hematomas, of which 50% of the hematoma and arterial complications related to the puncture site. Hematoma is generally defined as limited to blood vessels near the beginning of hemorrhage, and finally spto the surrounding tissue, can be divided into large, hematoma. Because the lack of a precise definition of hematoma, and all the interventional procedures is inevitable there will be local bleeding, bleeding and hematoma specific size is actually very difficult to accurately measure and estimate, so the reported incidence varies widely, from 0.5% to 7 %, and some of the statistics only 2cm 2cm above the hematoma.
In theory all puncture hematoma may have occurred, but because of generally low pressure vein, hematoma occurred in the arterial puncture site, a common groin hematoma, neck hematoma, retroperitoneal hematoma, mediastinal hematoma. In recent years, with the intervention by the increase in radial artery forearm hematoma site of a growing trend. Groin hematoma and retroperitoneal hematoma with femoral artery and more relevant, but the femoral vein puncture hematoma may also occur. Internal jugular vein can occur when the accidental injury and neck and mediastinal artery hematoma, false subclavian vein puncture can also occur through arterial mediastinal hematoma. The clinical manif
estations include hematoma hematoma local performance, compression performance, general performance.
Local performance: the emergence of bruising around the puncture site, hematoma, bleeding tumor is the most direct signs, and most had pain and tenderness. The body surface, such as the groin area and neck hematoma hematoma is usually very easy to identify, but some obese patients with partial performance can not obvious. Mediastinal hematoma from the surface can not be found, must be confirmed by imaging studies.
This book is the "surgical and invasive operation - Common Problems and Solutions" series one. The book is Chapter 6, details the basic operation of cardiac catheterization, coronary interventional surgery, radiofrequency catheter ablation, cardiac pacing, catheter interventional treatment of valvular heart disease, congenital heart defects, etc. Common Problems and Solutions on improve cardiovascular complications of interventional understanding of the operation to reduce its occurrence and reduce the harm and improve the success rate has important reference value.
Looking at a variety of interventional cardiology monographs, and more to introduce the basic principles of interventional cardiology, interventional indications, operating technology-based, while the diagnosis and treatment intervention strategies in the prevention of complications often less space above the . To raise awareness of cardiovascular disease complications in interventional operation, understanding, reduce its occurrence and reduce the harm and improve the success rate of surgery, positive, healthy, effective, safe to advance the cause of the development of interventional cardiology, the editor invited and organizations engaged in a long line interventional diagnosis and treatment of cardiovascular disease and middle-aged experts, doctors, academics, co-edited the "cardiac catheterization Common Problems and Solutions," a book. This book attempts, by definition, diagnosis, clinical features, treatment, prevention and typical cases of cardiac catheterization and other aspects of dealing with common problems and countermeasures are described.Section IV arteriovenous fistulaVII vessel dissection, perforationIncarcerated catheter guide wire tie section XPacemaker implantation in section IX, thrombosis, embolismSection XVI, Implantable cardioverter defibrillator discharge errorSection off interventional devices, embolization
Section cardiac perforation, pericardial tamponadeSection X residual shunt, hemolytic
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