Etiology, pathogenesis, and prevention of spinal cord lesions in selective angiography of the bronchial and intercostal arteries.
Etiology, pathogenesis, and prevention of spinal cord lesions in selective angiography of the bronchial and intercostal arteries.
复制标题
支气管和肋间动脉选择性血管造影中脊髓病变的病因、发病机制和预防。
作者：
V. Kardjiev;A. Symeonov;I. Chankov
作者描述了5例选择性支气管动脉和肋间动脉血管造影术后出现脊髓损伤的患者。在所有病例中，在右第五肋间动脉注射造影剂后，单侧或双侧肢体瘫痪明显。可能导致这一并发症的解剖学因素是从右侧第五肋间动脉发出的一条神经根延髓动脉与脊髓的中段相连。造成损伤的直接原因是造影剂的毒性。
The authors describe 5 patients in whom spinal cord lesions appeared following selective angiography of the bronchial and intercostal arteries. In all cases, paresis of one or both lower limbs was evident after injection of contrast material into the fifth right intercostal artery. The anatomical factor probably responsible for this complication was a radiculomedullary artery which emerged from the fifth right intercostal artery to join the midthoracic section of the spinal cord. The immediate cause of the damage was the toxicity of the contrast medium.