Ruzsa Zoltán, Kovács Nándor, Merkely Béla
Semmelweis University, Cardiac and Vascular Center, Hungary; Bács-Kiskun County Hospital, Invasive Cardiology Department, Teaching Hospital of the Szent-Györgyi Albert Medical University, Kecskemét, Hungary.
Bács-Kiskun County Hospital, Invasive Cardiology Department, Teaching Hospital of the Szent-Györgyi Albert Medical University, Kecskemét, Hungary.
Cardiovasc Revasc Med. 2015 Jun;16(4):259-61. doi: 10.1016/j.carrev.2014.12.002. Epub 2014 Dec 29.
We report interventional management of critical hand ischemia after transradial coronary angiography. The radial artery occlusion was confirmed by Doppler ultrasound and digital subtraction angiography. The radial artery was opened using retrograde recanalization technics through the palmar arch. After guidewire passage the proximal occlusion site was stented with balloon expandable drug eluting stent, and the distal segment underwent balloon angioplasty. The report discusses the potential risks and advantages of angioplasty in the treatment of a symptomatic radial artery occlusion and the retrograde recanalization technique via the palmar arch.
我们报告经桡动脉冠状动脉造影术后严重手部缺血的介入治疗。通过多普勒超声和数字减影血管造影证实桡动脉闭塞。采用逆行再通技术经掌弓打开桡动脉。导丝通过后，在近端闭塞部位植入球囊扩张药物洗脱支架，远端节段行球囊血管成形术。本报告讨论了血管成形术治疗有症状桡动脉闭塞的潜在风险和优势，以及经掌弓逆行再通技术。
