Cholesterol embolization: a complication of angiography.
Cholesterol embolization: a complication of angiography.
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胆固醇栓塞：血管造影的并发症。
DOI：
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发表时间：
1978
影响因子：
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通讯作者：
H. Bloomer
中科院分区：
文献类型：
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作者：
G. Ramirez;W. O'Neill;R. Lambert;H. Bloomer
胆固醇栓塞并未被广泛认为是主要动脉造影术的并发症。在一项回顾性研究中，我们对71例接受诊断性动脉造影术的患者进行了尸检（20例有动脉造影，51例有心导管和冠状动脉造影），发现胆固醇栓塞的发生率分别为30%和25.5%，而年龄和疾病匹配的对照人群为4.3%。最常受影响的器官是主动脉造影后的肾脏和脾脏，以及心导管插入术后的心肌。这些发现的临床重要性不能从这项研究中确定，但我们的经验与一个单一的情况下，表明放射学研究可能产生大量的发病率。
Cholesterol embolization is not widely recognized as a complication of major arteriographic procedures. In a retrospective study of 71 autopsies of patients who underwent diagnostic arteriographic procedures (20 with aortograms, 51 with cardiac catheterization and coronary angiography), we found an incidence of cholesterol embolization of 30% and 25.5%, respectively, in comparison with 4.3% in an age and disease-matched control population. The organs most frequently affected are the kidney and spleen following aortogram, and the myocardium following cardiac catheterization. The clinical importance of these findings cannot be ascertained from this study, but our experience with a single case demonstrates that radiographic studies may produce substantial morbidity.