Vaghei R, Terrell E B, Kunyosying U
Department of Thoracic-Vascular Surgery and Radiology, Veterans Administration Medical Center, Martinsburg, West Virginia.
Angiology. 1989 Mar;40(3):186-9. doi: 10.1177/000331978904000306.
Brachial artery catheterization via cutdown and a direct needle puncture was evaluated in 369 patients undergoing arteriography at the authors' medical center from January, 1970, to March, 1988. The indications for retrograde brachial arteriography were absence of palpable femoral pulses, failure of a femoral approach, previous aortic bypass surgery, and/or aneurysms of the abdominal aorta. The technique and results are described. Two patients lost their radial pulse; 1 of them had thrombectomy and, one year later, developed an aneurysm at the site of the needle puncture. The authors conclude that catheterization of the brachial artery through direct needle puncture is a safe procedure with good results.
1970年1月至1988年3月期间，作者所在医疗中心对369例行血管造影术的患者进行了经切开和直接穿刺的肱动脉插管评估。逆行肱动脉造影的适应证为股动脉搏动触诊不清、股动脉穿刺失败、既往主动脉搭桥手术史和/或腹主动脉瘤。本文描述了该技术及结果。两名患者桡动脉搏动消失；其中1例行血栓切除术，1年后在穿刺部位出现动脉瘤。作者得出结论，直接穿刺肱动脉插管是一种安全的操作，效果良好。
