Andrade Pedro Beraldo de, Tebet Marden André, Andrade Mônica Vieira Athanazio de, Labrunie André, Mattos Luiz Alberto Piva e
Irmandade da Santa Casa de Misericórdia de Marília, Marília, SP, Brazil.
Arq Bras Cardiol. 2008 Oct;91(4):e49-52, e41-4. doi: 10.1590/s0066-782x2008001600017.
The transradial approach is safe and effective for coronary procedures. However, its use may be compromised in cases of variations in radial artery anatomy, spasms, and negative Allen's test. The transulnar approach emerges as a viable alternative to transradial approach. We report on a patient who underwent primary angioplasty via ulnar artery without ischemic hand complications despite prior occlusion of the ipsilateral radial artery.
经桡动脉途径用于冠状动脉手术是安全有效的。然而，在桡动脉解剖变异、痉挛以及艾伦试验阴性的情况下，其应用可能会受到影响。经尺动脉途径成为经桡动脉途径的一种可行替代方案。我们报告了一例患者，尽管同侧桡动脉先前已闭塞，但该患者经尺动脉进行了直接血管成形术，且未出现手部缺血并发症。
