迷走动脉：经右侧桡动脉冠状动脉介入治疗中的一种异常发现。

Arteria Lusoria: An Anomalous Finding during Right Transradial Coronary Intervention.

作者信息

Allen David, Bews Hilary, Vo Minh, Kass Malek, Jassal Davinder S, Ravandi Amir

机构信息

Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.

Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Department of Radiology, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Institute of Cardiovascular Sciences, St. Boniface Albrechtsen Research Centre, University of Manitoba, Winnipeg, MB, Canada.

出版信息

Case Rep Cardiol. 2016;2016:8079856. doi: 10.1155/2016/8079856. Epub 2016 Jul 5.

DOI:10.1155/2016/8079856

PMID:27478652

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4949336/

Abstract

Arteria Lusoria or aberrant right subclavian artery (ARSA) is present in 0.6-1.4% of individuals. It typically remains clinically silent and is often discovered during angiographic procedures. The presence of ARSA can make a right transradial approach for coronary angiography and angioplasty technically more difficult. With the use of catheter support, we describe two cases in which a right transradial approach for catheterization was successful in the setting of ARSA. As such, the presence of ARSA does not warrant abandoning a transradial approach for coronary angiography and angioplasty.

摘要

迷走右锁骨下动脉（ARSA）或迷走动脉在0.6%-1.4%的个体中存在。它通常在临床上没有症状，常在血管造影过程中被发现。ARSA的存在会使经桡动脉途径进行冠状动脉造影和血管成形术在技术上更加困难。通过使用导管支撑，我们描述了两例在ARSA情况下经桡动脉途径插管成功的病例。因此，ARSA的存在并不意味着要放弃经桡动脉途径进行冠状动脉造影和血管成形术。