Fujii N, Yodono H, Sasaki T, Tarusawa K, Kanehira J, Takahashi S, Akimura R, Takekawa S
Nihon Igaku Hoshasen Gakkai Zasshi. 1989 May 25;49(5):684-7.
A new technique of intra-arterial catheterization via the branch of left axillary artery is described. This provides relatively swift and safe insertion and long-term placement of an infusion catheter through the left thoracoacrominal artery without exposure of the left axillary artery, that was required by conventional methods. With our technique, the tip of the catheter tends to enter the distal axillary artery because of oblique angulation of the trunk of the thoracoacrominal artery. Therefore, the tip of the catheter in the axillary artery must be deflected using a deflecting guidewire, so that it will advance into the subclavian artery and then down to the descending aorta. The deflection guidewire can also be of help when the catheter tip migrates into either celiac or SMA. The selective catheterization has been successful in all twenty seven patients without preliminary selective left subclavian arteriography.
描述了一种通过左腋动脉分支进行动脉内插管的新技术。这提供了相对快速且安全的插入方式，以及通过左胸肩峰动脉长期放置输液导管，而无需像传统方法那样暴露左腋动脉。采用我们的技术，由于胸肩峰动脉主干呈斜角，导管尖端往往会进入腋动脉远端。因此，必须使用偏转导丝使腋动脉内的导管尖端偏转，以便其进入锁骨下动脉，然后下行至降主动脉。当导管尖端移入腹腔干或肠系膜上动脉时，偏转导丝也会有所帮助。在未进行初步选择性左锁骨下动脉造影的所有27例患者中，选择性插管均获成功。
