尚晖,纪赛弦,王晓彦

• 1:江南大学附属医院心内科江苏省临床重点科室国家胸痛中心国家心力衰竭中心国家高血压达标中心国家心房颤动中心

摘要(Abstract)：

心血管穿透性损伤是心脏介入手术中可能导致严重不良后果的一种并发症。经导管主动脉瓣置换术前需经颈内静脉植入起搏导线，颈内静脉穿刺时损伤内乳动脉少有报道。内乳动脉血流量大，损伤后容易引发失血性休克，手术过程中延误抢救时机甚至威胁患者生命。本病例报道1例经导管主动脉瓣置换术中，颈内静脉穿刺误伤内乳动脉出现失血性休克的患者，先后尝试内乳动脉覆膜支架、内乳动脉弹簧圈封堵，锁骨下动脉覆膜支架置入，最终成功止血，为术中失血性休克的鉴别以及内乳动脉损伤后的救治提供一定的参考。

关键词(KeyWords)： 经导管主动脉瓣置换术;颈内静脉穿刺;内乳动脉

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目（82400455）;; 无锡市“太湖人才计划”项目（锡卫人[2025]2号）

作者(Author): 尚晖,纪赛弦,王晓彦

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