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经股动脉途径使用无鞘导引导管进行复杂经皮冠状动脉介入治疗——解决常见问题的一种独特方法。

Sheathless guiding catheter from a femoral approach for complex percutaneous coronary interventions -An unusual solution for an often-encountered problem.

作者信息

Israeli Zeev, Nordkin Irina, Goldberg Alexander, Halabi Majdi

机构信息

Ziv Medical Center Affiliated With the Faculty of Medicine in Zefat Bar Ilan University Tzfat Israel.

出版信息

Clin Case Rep. 2019 Nov 22;7(12):2545-2547. doi: 10.1002/ccr3.2540. eCollection 2019 Dec.

DOI:10.1002/ccr3.2540
PMID:31893098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6935670/
Abstract

Sheathless guiding catheters are a valuable tool in the catheterization labor and may assist the operator when dealing with heavily calcified and tortuous vessels. Nevertheless, when hostile anatomy prevents successful percutaneous coronary interventions (PCI) from the radial access, transfemoral use of sheathless guide can assist in overcoming these challenges in a safe manner.

摘要

无鞘导引导管是导管插入操作中的一种重要工具，在处理严重钙化和迂曲血管时可协助操作人员。然而，当复杂的解剖结构阻碍经桡动脉途径成功进行经皮冠状动脉介入治疗（PCI）时，经股动脉使用无鞘导引导管可有助于安全地克服这些挑战。

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Sheathless guiding catheter from a femoral approach for complex percutaneous coronary interventions -An unusual solution for an often-encountered problem.经股动脉途径使用无鞘导引导管进行复杂经皮冠状动脉介入治疗——解决常见问题的一种独特方法。
Clin Case Rep. 2019 Nov 22;7(12):2545-2547. doi: 10.1002/ccr3.2540. eCollection 2019 Dec.
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本文引用的文献

1
Ultrahigh-resolution ultrasound characterization of access site trauma and intimal hyperplasia following use of a 7F sheathless guide versus 6F sheath/guide combination for transradial artery PCI: Results of the PRAGMATIC trial.经桡动脉途径行 PCI 时使用 7F 无鞘导引导管与 6F 鞘/导引导管组合对比对入路部位创伤和内膜增生的超高分辨率超声特征：PRAGMATIC 试验结果。
Am Heart J. 2018 Apr;198:75-83. doi: 10.1016/j.ahj.2017.11.017. Epub 2017 Dec 15.
2
A Randomized Study of SheathLess vs Standard Guiding Catheters for Transradial Percutaneous Coronary Interventions.无鞘 vs 标准导引导管经桡动脉冠状动脉介入治疗的随机研究。
Can J Cardiol. 2016 Dec;32(12):1425-1432. doi: 10.1016/j.cjca.2016.03.016. Epub 2016 Apr 4.
3
Transradial Sheathless Approach for PCI.经桡动脉无鞘管PCI入路
Curr Cardiol Rep. 2015 Jun;17(6):47. doi: 10.1007/s11886-015-0597-5.
4
High-speed rotational atherectomy using the radial artery approach and a sheathless guide: a single-centre comparison with the "conventional" femoral approach.经桡动脉途径行高速旋切术并使用无鞘导引导管：与“传统”股动脉入路的单中心比较。
EuroIntervention. 2014 Oct;10(6):694-9. doi: 10.4244/EIJV10I6A121.
5
Successive transradial access for coronary procedures: experience of Quebec Heart-Lung Institute.连续经桡动脉入路行冠状动脉介入治疗：魁北克心脏中心的经验。
Am Heart J. 2013 Mar;165(3):325-31. doi: 10.1016/j.ahj.2012.10.016. Epub 2012 Nov 17.
6
Assessment of acute injuries and chronic intimal thickening of the radial artery after transradial coronary intervention by optical coherence tomography.经桡动脉冠状动脉介入治疗后桡动脉急性损伤和慢性内膜增厚的光学相干断层成像评估。
Eur Heart J. 2010 Jul;31(13):1608-15. doi: 10.1093/eurheartj/ehq102. Epub 2010 Apr 22.
7
Use of the sheathless guide catheter during routine transradial percutaneous coronary intervention: a feasibility study.鞘内无导引导管在常规经桡动脉经皮冠状动脉介入治疗中的应用：一项可行性研究。
Catheter Cardiovasc Interv. 2010 Mar 1;75(4):596-602. doi: 10.1002/ccd.22246.
8
Histopathologic changes of the radial artery wall secondary to transradial catheterization.经桡动脉导管插入术继发的桡动脉壁组织病理学变化。
Vasc Health Risk Manag. 2009;5(3):527-32. doi: 10.2147/vhrm.s5468. Epub 2009 Jun 29.
9
A 5Fr catheter approach reduces patient discomfort during transradial coronary intervention compared with a 6Fr approach: a prospective randomized study.与6Fr导管入路相比，5Fr导管入路可减轻经桡动脉冠状动脉介入治疗期间患者的不适：一项前瞻性随机研究。
J Interv Cardiol. 2006 Apr;19(2):141-7. doi: 10.1111/j.1540-8183.2006.00121.x.
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Catheter Cardiovasc Interv. 1999 Feb;46(2):173-8. doi: 10.1002/(SICI)1522-726X(199902)46:2<173::AID-CCD12>3.0.CO;2-4.