Martínez-Quintana Efrén, Rodríguez-González Fayna
Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España.
Servicio de Oftalmología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, España.
Cir Cir. 2016 Sep-Oct;84(5):405-8. doi: 10.1016/j.circir.2015.05.054. Epub 2015 Dec 28.
Peripheral arterial disease and coronary artery disease are frequently associated. The percutaneous approach may sometimes involve additional difficulties to the coronary artery disease.
The case is presented on an 82 year-old male patient with multiple cardiovascular risk factors, a Leriche syndrome and axillobifemoral bypass, who was admitted to hospital due to an inferior myocardial infarction. The procedure approach (radial, brachial, or femoral access routes for percutaneous coronary treatment) and associated complications from the procedure are discussed.
Although technical improvements and/or treatment of peripheral vascular lesions may allow percutaneous coronary intervention, individual risk and benefit in each patient must be assessed.
外周动脉疾病与冠状动脉疾病常相关联。经皮治疗方法有时可能给冠状动脉疾病带来额外困难。
本文介绍了一名82岁男性患者，他有多种心血管危险因素、勒里什综合征并接受了腋股动脉旁路移植术，因下壁心肌梗死入院。文中讨论了经皮冠状动脉治疗的手术入路（桡动脉、肱动脉或股动脉入路）及该手术相关并发症。
尽管技术改进和/或外周血管病变的治疗可能使经皮冠状动脉介入治疗成为可能，但必须评估每位患者的个体风险和获益情况。
