Deora Surender, Shah Sanjay, Patel Tejas
NHL Medical College, Ahmedabad, VS Hospital, Department of Cardiology, Ashram Road, Ellisbridge, Ahmedabad, Gujarat 380006, India.
J Invasive Cardiol. 2014 May;26(5):E61-2.
The transradial approach for various coronary procedures has gained worldwide popularity because it reduces bleeding complications and increases patient comfort level. There may be difficulties encountered at various anatomical levels from radial artery to coronary artery level by this approach. Radial artery loop is one of the most common anatomical reasons for deferring or failure of transradial approach and shifting to the femoral route. Balloon-assisted tracking of catheters may help deal with radial artery loops without injuring the endothelium and increase the success rate of the coronary procedure.
经桡动脉途径用于各种冠状动脉手术已在全球范围内得到广泛应用,因为它可减少出血并发症并提高患者舒适度。通过这种途径,从桡动脉到冠状动脉的各个解剖层面可能会遇到困难。桡动脉袢是推迟经桡动脉途径或导致其失败并转而采用股动脉途径的最常见解剖学原因之一。导管的球囊辅助追踪可能有助于处理桡动脉袢,同时避免损伤内皮,并提高冠状动脉手术的成功率。