Hopf R, Kunkel B, Schneider M, Kaltenbach M
Z Kardiol. 1985 Oct;74(10):580-4.
The procedure of coronary perfusion during transluminal coronary angioplasty (TCA) is described. By using guide wires of a length of 300 cm it is possible to exchange a balloon catheter for a perfusion catheter in acute vascular occlusion. Arterial blood is withdrawn and correspondingly supplied distal to the occlusion to meet the myocardial need for sufficiently oxygenated blood. Ischemia resolves, resulting in the normalization of left ventricular function and resolution of subjective complaints. This procedure can maintain myocardial oxygen supply until emergency coronary bypass graft surgery or repeat angioplasty. It might help to reduce mortality secondary to transluminal coronary angioplasty.
描述了经皮腔内冠状动脉成形术（TCA）期间的冠状动脉灌注程序。通过使用300厘米长的导丝，在急性血管闭塞时可以将球囊导管换成灌注导管。抽取动脉血并在闭塞远端相应地进行供应，以满足心肌对充分氧合血的需求。缺血得到缓解，导致左心室功能恢复正常并消除主观症状。该程序可维持心肌氧供应，直至进行急诊冠状动脉搭桥手术或重复血管成形术。它可能有助于降低经皮腔内冠状动脉成形术继发的死亡率。
