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猪尾辅助引导导管跟踪以导航困难的桡动脉路径：克服“剃刀效应”

Pigtail assisted tracking of guide catheter for navigating the difficult radial: Overcoming the "razor effect".

作者信息

Garg Naveen, Sahoo Dhabaleswar, Goel Praveen Kumar

机构信息

Professor, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

Senior Resident, Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

出版信息

Indian Heart J. 2016 May-Jun;68(3):355-60. doi: 10.1016/j.ihj.2016.03.016. Epub 2016 Mar 26.

DOI:10.1016/j.ihj.2016.03.016
PMID:27316490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4912533/
Abstract

During transradial procedures, sharp edge of the guide catheter tip may act like a "razor-blade" and can prevent the catheter navigation. It is especially common with radial artery loop, tortuous radial artery and radial artery spasm. We describe a cost effective and easy technique which overcomes this "razor-blade" effect and helps in tracking the guide catheter in complex radial anatomy for the easy and successful completion of procedure.

摘要

在经桡动脉手术过程中，导引导管尖端的锐利边缘可能会像“剃须刀刀片”一样起作用，从而阻碍导管的推进。这在桡动脉袢、迂曲的桡动脉和桡动脉痉挛时尤为常见。我们描述了一种经济有效且简便的技术，该技术可克服这种“剃须刀刀片”效应，并有助于在复杂的桡动脉解剖结构中追踪导引导管，从而轻松、成功地完成手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/3526be386d84/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/863a8b85adca/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/f53cf8dac0b0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/b433c911913a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/c11442ad56f8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/3526be386d84/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/863a8b85adca/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/f53cf8dac0b0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/b433c911913a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/c11442ad56f8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/4912533/3526be386d84/gr5.jpg

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本文引用的文献

1
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Catheter Cardiovasc Interv. 2014 Feb;83(2):211-20. doi: 10.1002/ccd.24959. Epub 2013 May 9.
2
Balloon-assisted tracking of a guide catheter through difficult radial anatomy: a technical report.球囊辅助导引导管通过困难的桡动脉解剖：技术报告。
Catheter Cardiovasc Interv. 2013 Apr;81(5):E215-8. doi: 10.1002/ccd.24504. Epub 2012 Nov 14.
3
Mechanism and predictors of failed transradial approach for percutaneous coronary interventions.
经皮冠状动脉介入治疗中经桡动脉入路失败的机制和预测因素。
JACC Cardiovasc Interv. 2009 Nov;2(11):1057-64. doi: 10.1016/j.jcin.2009.07.014.
4
Management of radial and brachial artery perforations during transradial procedures--a practical approach.经桡动脉手术中桡动脉和肱动脉穿孔的处理——一种实用方法。
J Invasive Cardiol. 2009 Oct;21(10):544-7.
5
Radial loop and extreme vessel tortuosity in the transradial approach: advantage of hydrophilic-coated guidewires and catheters.经桡动脉途径中的桡动脉袢及血管极度迂曲：亲水涂层导丝和导管的优势
Catheter Cardiovasc Interv. 2003 Aug;59(4):442-50. doi: 10.1002/ccd.10586.