TRANSIENT CORTICAL BLINDNESS FOLLOWING BYPASS GRAFT ANGIOGRAPHY

被引：24

作者：

KAMATA, J ^{[1
]}

FUKAMI, K ^{[1
]}

YOSHIDA, H ^{[1
]}

MIZUNUMA, Y ^{[1
]}

MORIAI, N ^{[1
]}

TAKINO, T ^{[1
]}

HOSOKAWA, S ^{[1
]}

HASHIMOTO, K ^{[1
]}

NAKAI, K ^{[1
]}

KAWAZOE, K ^{[1
]}

HIRAMORI, K ^{[1
]}

机构：

[1] IWATE MED UNIV,DEPT SURG 3,MORIOKA,IWATE 020,JAPAN

来源：

ANGIOLOGY | 1995年 / 46卷 / 10期

关键词：

D O I：

10.1177/000331979504601009

中图分类号：

R6 [外科学];

学科分类号：

1002 [临床医学]; 100210 [外科学];

摘要：

Transient cortical blindness, an uncommonly recognized complication of cerebral angiography, is an exceedingly rare event after cardiac catheterization and angiography. This report describes a sixty-two-year-old patient who had transient cortical blindness following bypass graft angiography. In this case, the authors showed that cortical blindness was associated with the breakage of the blood-brain barrier (BBB) and an increase in vascular permeability rather than with primary cerebral circulatory insufficiency. When the possibility exists that an excess volume of contrast medium may enter the cerebral circulation as in this case, that is, following a coronary artery bypass graft (CABG) using the internal mammary artery (IMA), precautionary measures may be necessary such as changing the type of contrast medium to be used or decreasing the volume injected. When cortical blindness occurs, it is a serious clinical problem whether transient or permanent. Therefore, the circumstances leading to this complication should be understood to determine suitable treatment and management.

引用

页码：937 / 946

页数：10

共 33 条

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