Schwartz D C, Kaplan S
Cathet Cardiovasc Diagn. 1975;1(1):59-70. doi: 10.1002/ccd.1810010109.
Preliminary experience with a new flow-directed pediatric angiography catheter in 35 infants indicates that catheterization of all cardiac chambers and both great vessels can be accomplished without risk of perforation or major arrhythmia. Antegrade access to the aorta from the left ventricle via the foramen ovale reduced the need for retrograde arterial catheterization. The maneuverability of this balloon-tipped catheter coupled with the ability to perform safely selective angiography at any site entered establishes a unique advantage over standard cardiac catheters now in use. The success with this catheter in performing right and left heart studies and the safety in its use promise to significantly reduce the risk of mechanical and angiographic accidents during the intracardiac investigation of critically ill infants with congenital heart disease.
对35名婴儿使用新型血流导向儿科血管造影导管的初步经验表明，对所有心腔和两大血管进行导管插入术时，不会有穿孔或严重心律失常的风险。经卵圆孔从左心室顺行进入主动脉，减少了逆行动脉导管插入术的必要性。这种球囊尖端导管的可操作性，以及在任何进入部位安全进行选择性血管造影的能力，使其相对于目前使用的标准心脏导管具有独特优势。该导管在进行左右心研究方面的成功及其使用安全性，有望显著降低患有先天性心脏病的危重症婴儿心内检查期间机械和血管造影事故的风险。
