经肱动脉主动脉内球囊反搏在高危经皮冠状动脉介入治疗中的应用。
Transbrachial intra-aortic balloon pumping for high-risk percutaneous coronary intervention.
机构信息
Andreas Gruentzig Cardiovascular Center, Emory University Hospital, Atlanta, Georgia 30322, USA.
出版信息
Am J Med Sci. 2011 Feb;341(2):153-6. doi: 10.1097/MAJ.0b013e3181f80248.
Abstract
The beneficial effect of placement of intra-aortic balloon (IAB) pump before revascularization in patients with high-risk coronary anatomy and impaired left ventricular systolic function is documented. However, the conventional insertion of IAB pump via the common femoral artery may be contraindicated or may be even impossible in patients with severe vascular disease. Recently, the percutaneous insertion of IAB via the brachial artery has been shown to be effective and safe in small series of patients with vascular disease undergoing coronary artery bypass surgery. The authors report their experience with a patient with aortobifemoral bypass grafts who underwent successful stenting of a trifurcating distal left main stenosis after placement of a 7.5-Fr IAB pump via the left brachial artery.
摘要
有文献记载，在高危冠状动脉解剖结构和左心室收缩功能受损的患者中，在血运重建之前放置主动脉内球囊泵（IAB）具有有益效果。然而，对于严重血管疾病的患者，传统的经股动脉插入 IAB 泵可能是禁忌的，甚至是不可能的。最近，在接受冠状动脉旁路手术的小系列血管疾病患者中，经肱动脉插入 IAB 已被证明是有效和安全的。作者报告了他们在一位接受过主动脉-股动脉旁路移植术的患者中的经验，该患者在经左肱动脉放置 7.5Fr IAB 泵后成功地对分叉远端左主干狭窄进行了支架置入。
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本文引用的文献
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2
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3
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