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新型“穿墙”技术在血管内治疗中用于股总动脉穿刺的疗效

The efficacy of the novel "wall pierce" technique for common femoral access in endovascular therapy.

作者信息

Mori Shinsuke, Kobayashi Norihiro, Tsutsumi Masakazu, Ito Yoshiaki

机构信息

Department of Cardiology Saiseikai Yokohama City Eastern Hospital Kanagawa Japan.

出版信息

Clin Case Rep. 2024 Jul 31;12(8):e9233. doi: 10.1002/ccr3.9233. eCollection 2024 Aug.

DOI:10.1002/ccr3.9233
PMID:39091618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11291550/
Abstract

Under challenging common femoral artery access scenarios, the "wall PIERCE" technique, which utilizes a larger puncture needle to pierce the vessel wall along the guidewire, facilitates sheath insertion. This method proved successful in two cases without any complications, presenting a valuable addition to strategies for addressing challenging sheath insertion scenarios.

摘要

在具有挑战性的股总动脉穿刺情况下，“壁穿刺”技术利用较大的穿刺针沿导丝穿刺血管壁，便于鞘管插入。该方法在两例患者中取得成功，无任何并发症，为应对具有挑战性的鞘管插入情况的策略增添了有价值的补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90c5/11291550/850878b59657/CCR3-12-e9233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90c5/11291550/c44f28f83097/CCR3-12-e9233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90c5/11291550/850878b59657/CCR3-12-e9233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90c5/11291550/c44f28f83097/CCR3-12-e9233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90c5/11291550/850878b59657/CCR3-12-e9233-g002.jpg

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本文引用的文献

1
Efficacy of the novel inner PIERCE technique for severely calcified below-the-knee occlusions in a patient with chronic limb-threatening ischemia.新型腔内 PIERCE 技术治疗慢性肢体威胁性缺血伴严重膝下钙化闭塞症患者的疗效。
Catheter Cardiovasc Interv. 2020 Nov;96(6):1317-1322. doi: 10.1002/ccd.29255. Epub 2020 Sep 15.
2
Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI).经解剖鼻烟窝行左侧远端桡动脉入路行冠状动脉造影（ldTRA）和介入治疗（ldTRI）。
EuroIntervention. 2017 Sep 20;13(7):851-857. doi: 10.4244/EIJ-D-17-00079.
3
Radial Versus Femoral Access for Coronary Interventions Across the Entire Spectrum of Patients With Coronary Artery Disease: A Meta-Analysis of Randomized Trials.
经皮冠状动脉介入治疗中桡动脉与股动脉入路在不同冠状动脉疾病患者中的应用：一项随机临床试验的荟萃分析。
JACC Cardiovasc Interv. 2016 Jul 25;9(14):1419-34. doi: 10.1016/j.jcin.2016.04.014. Epub 2016 Jun 29.
4
Tibio-pedal arterial minimally invasive retrograde revascularization in patients with advanced peripheral vascular disease: the TAMI technique, original case series.晚期外周血管疾病患者的胫后动脉微创逆行血管重建术：TAMI技术，原始病例系列
Catheter Cardiovasc Interv. 2014 May 1;83(6):987-94. doi: 10.1002/ccd.25227. Epub 2013 Nov 9.