Camacho Freire Santiago Jesús, Gómez Menchero Antonio Enrique, León Jiménez Javier, Roa Garrido Jessica, Cardenal Piris Rosa, Díaz Fernández José Francisco
Interventional Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda exterior norte s/n. Postal Code: 21005, Huelva, Spain.
Interventional Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda exterior norte s/n. Postal Code: 21005, Huelva, Spain.
Cardiovasc Revasc Med. 2017 Oct-Nov;18(7):501-503. doi: 10.1016/j.carrev.2017.04.005. Epub 2017 Apr 11.
Angioplasty on the radial artery have been performed with good success rates in patients with critical hand ischemia. We sought to assess the feasibility and safety of radial angioplasty on complex radial access in patients undergoing coronary angiography.
METHODS/MATERIAL: A prospective series of procedures with complex radial/ulnar access to which radial-ulnar angioplasty (RU-A) was performed. We set goals of efficacy and safety that included the success rate of the procedure (need for ¨Crossover femoral¨) and the existence of radial pulse at one month.
18 cases of RU-A out of 11,500 procedures from March 2010 to July 2016 (0.15%) were included. The majority of the patients were men with a variety of cardiovascular risk factors (age 71±9; 94% Hypertensive, 56% Diabetic, 18% chronic kidney disease). The most common indication for radial/ulnar angioplasty was severe arteriosclerotic stenosis. Angioplasty was performed with different types of over the wire peripheral balloons (Mean diameter 4,3±1 and mean length 42±15mm), in one case a stent implantation was needed. The success rate was 100% without vascular complications at 1-month clinical and vascular doppler follow-up.
Radial/ulnar artery angioplasty is feasible and safe in selected patients undergoing elective angiography or percutaneous coronary intervention using complex forearm approach.
对于严重手部缺血患者，桡动脉血管成形术已取得了较高的成功率。我们旨在评估在接受冠状动脉造影的患者中，桡动脉血管成形术应用于复杂桡动脉入路的可行性和安全性。
方法/材料：对一系列采用复杂桡动脉/尺动脉入路并实施桡尺动脉血管成形术（RU-A）的手术进行前瞻性研究。我们设定了疗效和安全性目标，包括手术成功率（是否需要“交叉股动脉入路”）以及术后1个月桡动脉搏动情况。
纳入了2010年3月至2016年7月期间11500例手术中的18例RU-A手术（0.15%）。大多数患者为男性，伴有多种心血管危险因素（年龄71±9岁；94%高血压，56%糖尿病，18%慢性肾病）。桡/尺动脉血管成形术最常见的适应证是严重动脉硬化性狭窄。血管成形术使用了不同类型的导丝外周球囊（平均直径4.3±1mm，平均长度42±15mm），1例需要植入支架。在1个月的临床和血管多普勒随访中，成功率为100%，无血管并发症。
对于采用复杂前臂入路进行选择性血管造影或经皮冠状动脉介入治疗的特定患者，桡/尺动脉血管成形术是可行且安全的。
