Division of Cardiovascular Medicine, Texas Tech University Health Sciences Center El Paso, Paul L. Foster School of Medicine, El Paso, Texas.
Catheter Cardiovasc Interv. 2019 Nov 1;94(5):706-713. doi: 10.1002/ccd.28398. Epub 2019 Jul 22.
The femoral and radial arteries are the standard access routes for cardiac catheterization. In cases where the right radial artery has been previously utilized or is not suitable for repeat procedures, the left dorsal distal radial artery (anatomical snuff box) or the ulnar artery may be an alternative access site. In this systematic review, alternative access sites are described along with the techniques of cannulation, technical considerations, ultrasound imaging, clinical studies, and their complications. As we routinely perform more radial procedures, increased complications will arise, so it becomes important to gain expertise in alternative access for future coronary interventions. Such a systematic review has not been previously published so it will enhance the reader's knowledge of alternative access.
股动脉和桡动脉是心脏导管插入术的标准入路。在右侧桡动脉先前已被使用或不适合重复进行介入治疗的情况下，左侧远端背侧桡动脉（解剖鼻烟窝）或尺动脉可能是另一种入路选择。在本系统评价中，描述了替代入路以及穿刺技术、技术注意事项、超声成像、临床研究及其并发症。由于我们常规进行更多的桡动脉介入治疗，将会出现更多的并发症，因此获得对未来冠状动脉介入治疗的替代入路的专业知识变得非常重要。这样的系统评价以前尚未发表过，因此将增强读者对替代入路的了解。
