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经皮左腋动脉入路在高危经皮冠状动脉介入治疗中为严重主髂动脉疾病患者提供 Impella 2.5 升循环支持。

Percutaneous left axillary artery approach for Impella 2.5 liter circulatory support for patients with severe aortoiliac arterial disease undergoing high-risk percutaneous coronary intervention.

机构信息

Department of Internal Medicine, Cardiovascular Division, University of Arizona, Tucson, Arizona 85724, USA.

出版信息

J Interv Cardiol. 2012 Apr;25(2):210-3. doi: 10.1111/j.1540-8183.2011.00696.x. Epub 2012 Feb 20.

DOI:10.1111/j.1540-8183.2011.00696.x
PMID:22348689
Abstract

The use of the Impella 2.5 liter (L) device for hemodynamic support has been well described. The typical access site for the Impella 2.5 L device is the femoral artery. The use of the axillary and subclavian artery has been described via surgical cut down for the Impella 5 L device when femoral artery access is not possible. In patients with severe aortoiliac disease and difficult anatomy the femoral artery access for the Impella 2.5 L device is not feasible. We describe the successful percutaneous use of the Impella 2.5 L device for hemodynamic support via the left axillary artery in 2 patients undergoing high-risk PCI with concomitant severe aortoiliac disease.

摘要

经股动脉途径应用 2.5 升（L）Impella 装置辅助循环的方法已得到充分描述。经股动脉途径应用 2.5L Impella 装置是其典型的入路选择。当股动脉途径无法建立时，可通过外科切开肱动脉或锁骨下动脉建立 Impella 5L 装置的入路。对于存在严重主髂动脉病变且解剖结构复杂的患者，经股动脉途径应用 2.5L Impella 装置是不可行的。我们描述了 2 例高危经皮冠状动脉介入治疗（PCI）合并严重主髂动脉病变患者，通过左侧腋动脉途径成功应用 2.5L Impella 装置进行循环辅助支持的经验。

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