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经皮经腋动脉途径用于经导管主动脉瓣置换术：避免开胸的另一种选择。

Percutaneous transaxillary access for TAVR: Another opportunity to stay out of the chest.

作者信息

Rogers Toby, Lederman Robert J

机构信息

Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.

出版信息

Catheter Cardiovasc Interv. 2018 Jan 1;91(1):157-158. doi: 10.1002/ccd.27458.

DOI:10.1002/ccd.27458
PMID:29314639
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5774862/
Abstract

Axillary arteries are less calcified and tortuous than iliofemoral arteries Axillary artery minimal luminal diameters are usually >5.0 mm even in patients with iliofemoral artery diameters < 5.0 mm Axillary and transcaval access are the only non-surgical fully percutaneous options for large-bore arterial access for TAVR or mechanical circulatory support devices.

摘要

腋动脉的钙化程度和迂曲程度低于髂股动脉。即使在髂股动脉直径小于5.0毫米的患者中，腋动脉的最小管腔直径通常也大于5.0毫米。腋动脉入路和经腔静脉入路是经导管主动脉瓣置换术（TAVR）或机械循环支持装置进行大口径动脉入路的仅有的非手术完全经皮选择。

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本文引用的文献

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Caliber and fitness of the axillary artery as a conduit for large-bore cardiovascular procedures.作为大口径心血管手术管道的腋动脉的管径和适用性。
Catheter Cardiovasc Interv. 2018 Jan 1;91(1):150-156. doi: 10.1002/ccd.27416. Epub 2017 Nov 11.
2
Transcaval Access and Closure for Transcatheter Aortic Valve Replacement: A Prospective Investigation.经腔静脉途径与经导管主动脉瓣置换术的封堵：一项前瞻性研究。
J Am Coll Cardiol. 2017 Feb 7;69(5):511-521. doi: 10.1016/j.jacc.2016.10.024. Epub 2016 Oct 29.
3
Fully Percutaneous Technique for Transaxillary Implantation of the Impella CP.经皮全技术经腋动脉植入Impella CP
JACC Cardiovasc Interv. 2016 Jun 13;9(11):1196-8. doi: 10.1016/j.jcin.2016.03.028.
4
Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients.经导管主动脉瓣置换术或外科主动脉瓣置换术治疗中危患者。
N Engl J Med. 2016 Apr 28;374(17):1609-20. doi: 10.1056/NEJMoa1514616. Epub 2016 Apr 2.
5
Propensity-matched comparisons of clinical outcomes after transapical or transfemoral transcatheter aortic valve replacement: a placement of aortic transcatheter valves (PARTNER)-I trial substudy.经心尖或股动脉经导管主动脉瓣置换术后临床结局的倾向性匹配比较：放置主动脉经导管瓣膜（PARTNER）-I 试验子研究。
Circulation. 2015 Jun 2;131(22):1989-2000. doi: 10.1161/CIRCULATIONAHA.114.012525. Epub 2015 Apr 1.