Vatakencherry Geogy, Gandhi Ripal, Molloy Christopher
Division of Vascular and Interventional Specialists, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA.
Department of Vascular and Interventional Radiology, Miami Cardiac and Vascular Institute, Miami, FL.
Tech Vasc Interv Radiol. 2016 Jun;19(2):113-22. doi: 10.1053/j.tvir.2016.04.004. Epub 2016 Apr 22.
Vascular interventionalists continue to expand the scope and breadth of endovascular procedures that we offer to our patients. However, we often have to overcome various anatomical and technical challenges to deliver an endovascular device. This article should give the modern interventionalist an array of technical tips and tricks to enable them to overcome various challenging anatomical features such as vessel tortuosity, vascular calcifications, and increasing abdominal pannus. We also hope to elucidate alternative accesses such as radial access, pedal access, popliteal access, and direct stent access as well as direct aortic access.
血管介入医生不断扩大我们为患者提供的血管内手术的范围和广度。然而，我们在输送血管内装置时常常不得不克服各种解剖学和技术上的挑战。本文将为现代介入医生提供一系列技术提示和技巧，使他们能够克服各种具有挑战性的解剖特征，如血管迂曲、血管钙化以及日益增多的腹部赘肉。我们还希望阐明一些替代入路，如桡动脉入路、足背动脉入路、腘动脉入路、直接支架置入入路以及直接主动脉入路。
