经腋动脉途径为一名体重1.2千克、患有恶性系统性高血压的早产新生儿进行主动脉缩窄支架置入术：病例报告
Axillary artery access for stenting of aortic coarctation in a 1.2 kg premature newborn with malignant systemic hypertension: a case report.
作者信息
Esmaeili Anoosh, Schrewe Roland, Wong Flora, Schranz Dietmar
机构信息
Department of Children and Adolescent Medicine, Pediatric cardiology, Frankfurt University Hospital, Frankfurt am Main, Germany.
Monash Newborn, Children's Hospital, Melbourne, Australia.
出版信息
Eur Heart J Case Rep. 2020 Dec 24;5(2):ytaa554. doi: 10.1093/ehjcr/ytaa554. eCollection 2021 Feb.
BACKGROUND
Axillary artery access is rarely used for demanding percutaneous transcatheter interventions. However, there are many clear advantages.
CASE SUMMARY
We describe this attractive approach in a 3-week-old premature neonate (bodyweight of 1.2 kg) with severe aortic coarctation. Percutaneous transcatheter intervention was performed with analgo-sedation and local anaesthesia; and a coronary stent was placed with a low fluoroscopy time of 2 min. Malignant systemic hypertension (160/54 mmHg) was effectively treated without any residual blood pressure gradient, with the aim for definitive surgery with stent resection and end-to-end anastomosis at the age of 6-12 months.
DISCUSSION
Axillary artery access is an attractive, alternative approach to treat newborns and premature infants with low body weight with complex heart diseases.
背景
腋动脉入路很少用于要求较高的经皮导管介入治疗。然而，它有许多明显的优点。
病例摘要
我们描述了在一名3周大、体重1.2千克的患有严重主动脉缩窄的早产儿中采用这种有吸引力的方法。在镇痛镇静和局部麻醉下进行了经皮导管介入治疗；并在2分钟的低透视时间内放置了冠状动脉支架。恶性系统性高血压（160/54毫米汞柱）得到有效治疗，没有任何残余血压梯度，目标是在6至12个月大时进行确定性手术，切除支架并进行端端吻合。
讨论
腋动脉入路是治疗患有复杂心脏病的低体重新生儿和早产儿的一种有吸引力的替代方法。
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