Iyer S S, Hall P, Dorros G
Milwaukee Heart and Vascular Clinic, St. Luke's Medical Center, Wisconsin 53215.
Cathet Cardiovasc Diagn. 1991 Aug;23(4):290-3. doi: 10.1002/ccd.1810230412.
The brachial approach for recanalizing an abdominal aortic occlusion utilizing a combination of thrombolysis and balloon angioplasty is described. The patient was deemed too ill to permit any surgical intervention. The unique aspects of the procedure are described including angioplasty of the unmasked (by lytic therapy) aortoiliac bifurcation stenoses utilizing double wires and double balloons through a single arteriotomy site. The advantages of the brachial approach in managing this unusual entity are outlined.
描述了一种利用溶栓和球囊血管成形术相结合的方法经肱动脉途径再通腹主动脉闭塞。该患者病情太重，无法进行任何手术干预。描述了该手术的独特之处，包括通过单个动脉切开部位使用双导丝和双球囊对未被溶栓治疗掩盖的主-髂动脉分叉狭窄进行血管成形术。概述了肱动脉途径在处理这一特殊情况中的优势。
