Neuhaus K L, Rupprath G, Hellberg K, Kühn R, Tebbe U
Dtsch Med Wochenschr. 1985 May 3;110(18):703-8. doi: 10.1055/s-2008-1068890.
The further development of coronary balloon catheters has encouraged their use for dilating small vessels of other organs and stenoses in larger vessels not passable by conventional catheters. The technique was used successfully as a primary intervention in two stenoses of the external carotid artery preparatory to extra-intracranial anastomosis, in four anastomotic stenoses in three patients with Blalock-Taussig anastomosis, and in a subtotal anastomosis of a Cimino shunt. After failed dilatation attempts with a standard dilatation catheter in three patients with four renal artery stenoses and two with subclavian artery stenosis, coronary angioplasty catheters successfully dilated the stenoses. In two infants with severe valval aortic stenosis and left-heart failure, retrograde transluminal balloon dilatation reduced the transvalval gradient from 70 to 30-40 mm Hg.
冠状动脉球囊导管的进一步发展促使其被用于扩张其他器官的小血管以及传统导管无法通过的较大血管中的狭窄部位。该技术成功地作为主要干预手段，用于两例颈外动脉狭窄以准备进行颅外吻合术，三例接受布莱洛克 - 陶西格吻合术的患者中的四处吻合口狭窄，以及一例奇米诺分流术的次全吻合。在对四名患有肾动脉狭窄的患者和两名患有锁骨下动脉狭窄的患者使用标准扩张导管扩张失败后，冠状动脉成形术导管成功地扩张了狭窄部位。在两名患有严重瓣膜性主动脉狭窄和左心衰竭的婴儿中，逆行腔内球囊扩张使跨瓣膜压差从70毫米汞柱降至30 - 40毫米汞柱。
