冠脉介入相关并发症.pptx

Complications during Percutaneous Cardiovascular Interventions冠脉介入相关并发症;冠脉介入相关并发症Complications during Percutaneous Cardiovascular Interventions;造影剂相关并发症;造影剂过敏Allergic-like Reactions of Contrast Media;造影剂肾病Contrast induced nephropathy（CIN）;Parfrey PS et al, NEJM. 1989;320:143-149;造影剂肾病Contrast induced nephropathy（CIN）;;造影剂肾病的预防Contrast induced nephropathy（CIN）;股动脉入路相关并发症;局部血肿HEMATOMA;动静脉瘘Arteriovenous Fistula;动静脉瘘的处理Arteriovenous Fistula：Management;假性动脉瘤Pseudoaneurysm;假性动脉瘤（PSA）的处理Management of Pseudoaneurysm;腹膜后出血Retroperitoneal Hemorrhage;腹膜后出血Retroperitoneal Hemorrhage;腹膜后出血Retroperitoneal Hemorrhage;73% within 3 hours;急性出血的处理Acute Bleeding: Management;腹膜后出血的处理Management of Retroperitoneal Hemorrhage;股动脉穿刺要点Common femoral arterial access：practical tips;FemoStop “C”-Clamp Safeguard;血管闭合封堵装置;桡动脉入路相关并发症;桡动脉入路相关并发症;桡动脉痉挛Radial Spasm;Operator: experience Patient: anxiety, positioning, pain Prevention: Treatment: Sedation/pain control Vasodilators/anti-spasmodics Time;桡动脉闭塞Radial Artery Occlusion;桡动脉闭塞的预防Radial Artery Occlusion Prevention;桡动脉闭塞的治疗Radial Artery Occlusion: Treatment;前臂血肿Forearm Hematoma;;处理;前臂血肿Forearm Hematoma;前臂骨筋膜室综合征Compartment syndrome;前臂骨筋膜室综合征Compartment syndrome;早诊断、早治疗，抬高患肢 一旦确诊，可首先试用多个点穿刺减压 如无效，要尽早请外科及时会诊。 切口要足够大，切开深筋膜，彻底解除骨筋膜室内的压力 ;纵隔、胸腔血肿Arterial perforation;导引导丝常见并发症;导引导丝常见并发症Guild wire related complications;PCI术后夹层发生率;NHLBI冠脉夹层分型NHLBI Classification System for Coronary Artery Dissections;NHLBI冠脉夹层分型NHLBI Classification System for Coronary Artery Dissections;指引导丝致夹层的可能原因;夹层处理：导引导丝的操作技巧;夹层处理：导丝通过后处理方法;血管穿孔的处理方法Management of Arterial perforation;导丝断裂处理的常用方法;导丝不慎带出冠脉;支架相关并发症;支架相关并发症Stent related complications;支架相关并发症Stent related complications;支架相关并发症Stent related complications;支架相关并发症Stent related complications;急诊PCI相关并发症;血栓移位;血栓移位的预防和处理;急性血管闭塞和无复流/慢血流Abrupt vessel closure and no reflow;急性血管闭塞和无复流/慢血流Abrupt vessel closure and no reflow;血管穿孔;并发症重在预防;谢谢！