误穿右锁骨下动脉介入封堵1例Closure of puncture of the right subclavian artery: a case report
双东思,王江友,余春俊
摘要(Abstract)：
本文报道了1例59岁女性患者因突发失语和左侧肢体乏力就诊，急诊行脑血管造影术+颅内动脉取栓术后，在右锁骨下静脉穿刺过程中误穿右锁骨下动脉。通过Mimics软件和3dsMAX进行三维重建和术前模拟，确定皮下隧道长度及Angioseal封堵器各部件的适用性。术前模拟显示，隧道长度74.6 mm，满足皮下隧道<塞压管
关键词(KeyWords)：
锁骨下动脉;Angioseal封堵器;心血管建模;术前模拟
基金项目(Foundation):
武汉市科委课题项目（WX14C79）;;
武汉市卫生健康科研基金资助项目（WX20Q31）
作者(Author):
双东思,王江友,余春俊
参考文献(References)：
- [1]蒋世良.充分发挥介入治疗的优势[J].中国介入心脏病学杂志，2008,16(6):301.DOI:10.3969/j.issn.1004-8812.2008.06.001.
- [2] Ward SR, Casale P, Raymond R,et al.Effi cacy and safety of a hemostatic puncture closure device with early ambulation after coronary angiography. Angio-Seal Investigators[J]. Am J Cardiol, 1998, 81(5):569-572.DOI:10.1016/S0002-9149(97)00970-3.
- [3]侯伊玲，岳继华，曾山，等. Angioseal(R)血管闭合器在冠脉介入术后患者股动脉穿刺部位的应用[J].武警医学，2007,18(1):25-27. DOI:10.3969/j.issn.1004-3594.2007.01.010.
- [4] Larsen EN, Hansen CB, Thayssen P,et al.Immediate mobilization after coronary angiography or percutaneous coronary intervention following hemostasis with the Angio Seal vascular closure device(the MOBS study)[J]. Eur J C a r d i o v a s c N u r s, 2 0 1 4, 1 3(5):4 6 6-4 7 2. D O I:10.1177/1474515113516702.
- [5] Moey MYY, Prabhudesai V, Greco E, et al.Angio-seal closure for traumatic left subclavian artery pseudoaneurysm:a case report[J]. J Soc Cardiovasc Angiogr Interv, 2024, 3(6):102021.DOI:10.1016/j.jscai.2024.102021.
- [6] Chepelev L, Hodgdon T, Gupta A,et al.Medical 3D printing for vascular interventions and surgical oncology:a primer for the 2016 radiological society of North America(RSNA)handson course in 3D printing[J]. 3D Print Med,2015,2(1):5.DOI:10.1186/s41205-016-0008-6.