Nişli Kemal, Karaca Serra, Aydoğan Ümrah
Department of Pediatric Cardiology, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey.
Turk Kardiyol Dern Ars. 2016 Oct;44(7):603-605. doi: 10.5543/tkda.2016.60137.
Axillary artery access for demanding interventions in newborns is rarely described, in spite of the many clear advantages. This access route in newborns with critical congenital heart disease is a real alternative to the more commonly used femoral or carotid artery routes. In brief, axillary access is an attractive alternative approach in newborns with complex heart diseases. It is advisable to stop an elective procedure if axillary access is not successful. Presently described is the use of axillary artery access for balloon angioplasty in a newborn with critical aortic coarctation. To the best of our knowledge, it was the first instance in Turkey.
尽管腋动脉入路有诸多明显优势，但针对新生儿进行高要求干预的相关描述却很少。对于患有严重先天性心脏病的新生儿，这种入路方式是常用的股动脉或颈动脉入路的一种切实可行的替代方案。简而言之，腋动脉入路对于患有复杂心脏病的新生儿而言是一种有吸引力的替代方法。如果腋动脉入路不成功，建议停止择期手术。本文介绍了在一名患有严重主动脉缩窄的新生儿中使用腋动脉入路进行球囊血管成形术的情况。据我们所知，这是土耳其的首例。
