Ilia R, Kimbiris D, Hakki A H, Edlin D, Iskandrian A S, Bemis C E, Mintz G S, Segal B L
Cathet Cardiovasc Diagn. 1985;11(5):463-6. doi: 10.1002/ccd.1810110504.
The advantages and disadvantages of an arterial sheath to introduce catheters percutaneously through the femoral artery were prospectively studied in 184 consecutive patients without peripheral vascular disease undergoing routine diagnostic left heart catheterization and coronary arteriography. The arterial sheath was used randomly in 91 patients (sheath group) and the standard Seldinger technique in 93 (control group). There were no differences in age or sex between the two groups. All patients were studied with no premedication and had the same dose of lidocaine local anesthesia and heparin. No major complication occurred in any of the patients in the sheath or control groups. There were no significant differences in groin hematomas between the two groups. The patients in the control group more commonly had severe or moderately severe discomfort requiring additional local anesthesia. We conclude that the use of an arterial sheath percutaneously for introduction of catheters for left heart catheterization and coronary arteriography is advisable, particularly for anxious patients who have a low pain threshold.
对184例无外周血管疾病且正在接受常规诊断性左心导管插入术和冠状动脉造影术的连续患者，前瞻性研究了经股动脉经皮插入导管时使用动脉鞘的优缺点。91例患者随机使用动脉鞘（鞘组），93例患者采用标准Seldinger技术（对照组）。两组患者的年龄和性别无差异。所有患者均未进行术前用药，使用相同剂量的利多卡因局部麻醉和肝素。鞘组或对照组的任何患者均未发生重大并发症。两组之间腹股沟血肿无显著差异。对照组患者更常出现严重或中度严重的不适，需要额外的局部麻醉。我们得出结论，经皮使用动脉鞘插入导管进行左心导管插入术和冠状动脉造影术是可取的，特别是对于疼痛阈值较低的焦虑患者。
