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作者报道6例血管造影操作所致主动脉夹层并讨论了其类型、临床过程和转归。在约15500次血管造影操作中发生6例医原性主动脉夹层。男4例,女2例,平均年龄65岁。全部血管造影操作由心脏科医生完成4例,放射科医生完成2例。6位血管造影术者均有5年以上作血管造影的经验。除病例3外,在所有病人均使用J型导丝。在3例病人使用Judkins导管,1例使用辫尾导管,1例Head-hunter导管和1例shepherd-hook导管。在所有病
The authors reported 6 cases of aortic dissection due to angiographic procedures and discussed their type, clinical course, and outcome. Six cases of iatrogenic aortic dissection occurred in about 15,500 angiographic procedures. 4 males and 2 females, with an average age of 65 years. All angiography operations were performed by cardiologists in 4 cases and radiologists in 2 cases. Six angiographers had more than 5 years of angiographic experience. In addition to Case 3, J-type guide wire was used in all patients. Judkins catheters were used in 3 patients, brachial catheters in 1 case, Head-hunter catheter in 1 case, and shepherd-hook catheter in 1 case. In all diseases