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经皮腋窝入路进行大口径动脉切开术：分步指南。

Percutaneous axillary access for large-bore arteriotomy: A step-by-step guide.

作者信息

Hallak Ahmad, Wei Lawrence, Berzingi Chalak, Moreland Jason, Alkhouli Mohamad

机构信息

Division of Cardiology, West Virginia University, Morgantown, West Virginia.

Department of Cardiothoracic Surgery, West Virginia University, Morgantown, West Virginia.

出版信息

J Card Surg. 2018 May;33(5):270-273. doi: 10.1111/jocs.13602. Epub 2018 Apr 25.

DOI:10.1111/jocs.13602
PMID:29696676
Abstract

The last decade has witnessed a tremendous growth in the type and complexity of transcatheter cardiovascular interventions that require large-bore access. While the common femoral artery has become the main route for these interventions, sizable cohorts of patients are unsuitable for transfemoral access due to vascular disease or small vessel caliber. Percutaneous axillary access has emerged as a feasible alternative in these patients. We provide a step-by-step guide for transaxillary large-bore access and closure for patients requiring transcatheter interventions.

摘要

在过去十年中，需要大口径通路的经导管心血管介入治疗的类型和复杂性有了巨大增长。虽然股总动脉已成为这些介入治疗的主要途径，但相当一部分患者由于血管疾病或血管口径小而不适合经股动脉通路。经皮腋路通路已成为这些患者可行的替代方案。我们为需要经导管介入治疗的患者提供了经腋路大口径通路及闭合的分步指南。

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