Pua Uei, Sim Jordan Zheng Ting, Quek Lawrence Han Hwee, Kwan Justin, Lim Gavin Hock Tai, Huang Ivan Kuang Hsin
Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.
J Vasc Interv Radiol. 2018 Sep;29(9):1276-1280. doi: 10.1016/j.jvir.2018.05.002.
"Snuffbox" radial access entails sheath insertion into the dorsal branch of the radial artery within the so-called anatomic snuffbox. The purpose of this report is to describe the technique and early experience in 50 visceral interventional procedures performed in 31 patients, which included liver embolotherapy, visceral arterial stent insertion, aneurysm embolization, and emergency embolization. In all cases, the procedures were successfully completed by using the snuffbox access, with a single case of asymptomatic pseudoaneurysm as the only access-related complication. Early experience showed that snuffbox radial access is technically feasible and represents a viable alternative to conventional radial access for visceral intervention procedures.
“鼻烟壶区”桡动脉入路是指将鞘管插入所谓的解剖学鼻烟壶区内的桡动脉背侧分支。本报告的目的是描述在31例患者中进行的50例内脏介入手术的技术及早期经验,这些手术包括肝动脉栓塞治疗、内脏动脉支架置入、动脉瘤栓塞及急诊栓塞。在所有病例中,均通过鼻烟壶区入路成功完成手术,仅1例出现无症状假性动脉瘤这一与入路相关的并发症。早期经验表明,鼻烟壶区桡动脉入路在技术上是可行的,是内脏介入手术中传统桡动脉入路的一个可行替代方案。