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经桡动脉主动脉瓣成形术:病例报告和文献复习。

Aortic valvuloplasty via the radial artery: Case reports and review of the literature.

机构信息

Division of Cardiology, Albany Medical Center, Albany, New York.

Division of Cardiology, Statton VA Medical Center, Albany, New York.

出版信息

Catheter Cardiovasc Interv. 2018 Sep 1;92(3):597-600. doi: 10.1002/ccd.27021. Epub 2017 Mar 17.

Abstract

The use of balloon aortic valvuloplasty (BAV) has increased with the development of transcatheter aortic valve implantation (TAVI) to medically optimize patients prior to procedure. It has been traditionally done by a retrograde approach via the femoral artery or an antegrade approach via the femoral vein. Large sheaths have been required with traditional balloons which require large vessel access. Use of a low profile compliant valvuloplasty balloon has been demonstrated to have adequate BAV results with smaller sheath sizes. We review the literature and report two cases where low profile compliant valvuloplasty balloons were used to perform BAV via the radial artery in patients without adequate femoral arterial access. © 2017 Wiley Periodicals, Inc.

摘要

球囊主动脉瓣成形术(BAV)的使用随着经导管主动脉瓣植入术(TAVI)的发展而增加,以便在手术前对患者进行医学优化。传统上,它是通过逆行途径经股动脉或顺行途径经股静脉进行的。传统球囊需要使用大鞘管,这需要大血管入路。已经证明,使用小鞘管尺寸的低剖面顺应性球囊可获得足够的 BAV 结果。我们回顾了文献,并报告了两例低剖面顺应性球囊在没有足够股动脉入路的患者中通过桡动脉进行 BAV 的病例。©2017WileyPeriodicals,Inc.

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