Bayam Emrah, Kahyaoğlu Muzaffer, Güner Ahmet, Zehir Regayip, Karabay Can Yücel
Department of Cardiology, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey.
Turk Kardiyol Dern Ars. 2018 Apr;46(3):228-230. doi: 10.5543/tkda.2017.74711.
Coronary angiography and percutaneous coronary artery intervention are important tools for the diagnosis and treatment of coronary artery disease. Nevertheless, despite both technical and pharmacological advances, bleeding and vascular complications remain problematic. With recent trials supporting the safety and decreased bleeding risk associated with the radial approach, radial access has become more popular, and conferences providing instruction on this technique are often standing room only. Herein, a case in which coronary angiography was performed by punching through the radial artery snuff box (fovea radialis) is described. Radial angiography from the snuff box allows for easier palpation and punching, less risk of neuropathy and bleeding, and less compression after the procedure.
冠状动脉造影和经皮冠状动脉介入治疗是诊断和治疗冠状动脉疾病的重要手段。然而,尽管在技术和药理学方面都取得了进展,但出血和血管并发症仍然是个问题。随着近期试验支持桡动脉途径的安全性及降低出血风险,桡动脉穿刺已变得更受欢迎,而提供该技术指导的会议常常座无虚席。在此,描述了一例通过穿刺桡动脉鼻烟壶(桡骨凹)进行冠状动脉造影的病例。经鼻烟壶进行桡动脉造影更容易触及和穿刺,神经病变和出血风险更低,术后压迫也更少。