Spaccavento L J, Breisblatt W M
Cardiology Service/SGHMMC, Wilford Hall USAF Medical Center, Lackland AFB, TX 78236-5300.
Cathet Cardiovasc Diagn. 1990 Jul;20(3):182-4. doi: 10.1002/ccd.1810200306.
Percutaneous transluminal coronary angioplasty using the right brachial artery has been described using either a cutdown and arteriotomy or a percutaneous entry. Each method requires the use of a brachial artery guiding catheter (Stertzer guiding catheter; (USCI). This communication reports the use of percutaneous entry of the left brachial artery and coronary angioplasty performed with femoral guiding catheters. In this manner coronary angioplasty has been successfully performed in 42 of 47 patients (90%) without major complications.
经皮腔内冠状动脉成形术使用右肱动脉时，已描述了采用切开动脉和动脉切开术或经皮穿刺两种方法。每种方法都需要使用肱动脉引导导管（Stertzer引导导管；美国外科器械公司）。本报告介绍了经皮穿刺左肱动脉并使用股动脉引导导管进行冠状动脉成形术。通过这种方式，47例患者中有42例（90%）成功进行了冠状动脉成形术，且无重大并发症。
