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短暂性皮质盲为经股动脉插管选择性椎动脉造影的主要并发症之一.我院自1978年3月至1987年7月共发生二例。占同期导管法椎动脉造影的0.4%。现分别报告如下,并就其发生的原因及预防的方法进行探讨。例一,男,51岁,因头昏、头痛1年于1986年3月17日经股动脉插管作全脑造影。双侧颈动脉造影顺利,未发现异常,继之用同一F7型导管插入左侧椎动脉,以3kg/cm~2的压力推入60%conray12 ml,共2次。正、侧位照片显示椎动脉粗细不均,1小时后出现头痛、双眼黑朦,但双侧瞳孔园形,等大,光反应正常,眼球活动自如,双眼底检查无异常发
Transient cortical blindness is one of the main complications of selective vertebral artery angiography through the femoral artery.In our hospital from March 1978 to July 1987 a total of two cases. Accounting for the same period catheter catheterization of vertebral artery 0.4%. Now separately reported as follows, and its causes and prevention methods to be explored. Example 1, male, 51 years old, due to dizziness, headache 1 year on March 17, 1986 by the femoral artery for whole brain angiography. Bilateral carotid artery angiography was successful and no abnormality was found. Subsequently, the same F7 catheter was inserted into the left vertebral artery and the pressure of 3kg / cm2 was pushed into 60% conray12ml for 2 times. Positive and lateral photographs showed vertebral artery thickness unevenness, 1 hour after the headache, both eyes dark, but both sides of the pupil circular, such as large, normal light reaction, eye movement freely, both eyes check no abnormal hair