Eugster G S, Reisig A H, Ugaldea C T
Cathet Cardiovasc Diagn. 1986;12(4):274-6. doi: 10.1002/ccd.1810120413.
A method is described combining percutaneous brachial catheterization techniques with the use of 5-French (F) preformed (Judkins) catheters. This method was used in 50 patients with one unsuccessful attempt to cannulate the brachial artery. There was one lost pulse requiring surgical thrombectomy but no other cardiac, vascular, or neurologic complications. Two moderately large hematomas occurred, which resolved without sequelae. Manipulation of 5-F Judkins catheters from the left arm was found to be quite acceptable with adequate visualization of the coronary arteries in all cases. We believe this technique to be an excellent alternative to brachial cutdown or transaxillary methods in patients with severe occlusive ileofemoral disease as well as an improved technique for out-patient catheterization.
本文描述了一种将经皮肱动脉插管技术与使用5法国（F）预成型（Judkins）导管相结合的方法。该方法用于50例患者，其中有1例肱动脉插管尝试失败。有1例出现脉搏消失，需要进行外科血栓切除术，但未出现其他心脏、血管或神经并发症。发生了2例中度较大的血肿，均无后遗症地自行消退。发现在所有病例中，从左臂操作5F Judkins导管在冠状动脉有足够可视化的情况下是完全可以接受的。我们认为，对于患有严重闭塞性髂股疾病的患者，该技术是肱动脉切开术或经腋窝方法的极佳替代方案，也是门诊导管插入术的改进技术。
