Liang Michael, Devlin Gerard, Harding Scott A
Department of Cardiology, Wellington Hospital, New Zealand; Department of Cardiology, Khoo Teck Puat Hospital, Singapore.
Department of Cardiology, Waikato Hospital, New Zealand.
Heart Lung Circ. 2015 Jun;24(6):e71-4. doi: 10.1016/j.hlc.2014.12.165. Epub 2015 Jan 28.
Transradial access for percutaneous coronary intervention and diagnostic coronary angiography has been increasingly utilised in the routine practice in most catheterisation laboratories as it reduces the incidence of major access site complications such as bleeding and haematoma. Radial artery spasm with or without perforation is one of the more frequent reasons for converting from radial to femoral access. In this article, the balloon-assisted technique and Sheathless EauCath (Asahi Intecc, Aichi, Japan) are demonstrated to overcome radial artery spasm with associated significant perforation in two cases.
经桡动脉途径进行经皮冠状动脉介入治疗和诊断性冠状动脉造影在大多数导管室的常规操作中越来越多地被采用，因为它降低了诸如出血和血肿等主要穿刺部位并发症的发生率。伴有或不伴有穿孔的桡动脉痉挛是从桡动脉途径转为股动脉途径的较常见原因之一。在本文中，展示了球囊辅助技术和无鞘EauCath（日本爱知县旭化成株式会社）在两例病例中克服伴有严重穿孔的桡动脉痉挛的应用。
