Barry W H, Levin D C, Green L H, Bettman M A, Mudge G H, Phillips D
Cathet Cardiovasc Diagn. 1979;5(4):401-9. doi: 10.1002/ccd.1810050413.
An arterial sheath with a proximal hemostasis valve and a side-arm extension tube was used in 562 consecutive patients undergoing cardiac catheterization and angiography via the femoral approach. Serious complications were rare. There was one death, one peripheral embolism, and one episode of delayed groin hemorrhage. The incidence of minor complications, including hematoma formation, in this series compares favorably with our own and the reported experience of others using the conventional percutaneous femoral approach. The sheath technique facilitated catheter exchanges and reduced patient discomfort. In addition, femoral artery pressure could be monitored via the side arm of the sheath during the catheterization. This proved helpful during retrograde catheterization of patients with aortic stenosis, as well as in detection of damping of coronary artery catheter tip pressure during coronary arteriography and hypotension following left ventriculography. Based upon this experience, use of an arterial sheath has become our standard practice when left heart catheterization is performed via the femoral approach, and the use of several different catheters is anticipated.
562例连续经股动脉途径行心导管检查和血管造影的患者使用了带有近端止血阀和侧臂延长管的动脉鞘。严重并发症罕见。有1例死亡、1例外周栓塞和1例迟发性腹股沟出血。本系列中包括血肿形成在内的轻微并发症发生率与我们自己以及其他使用传统经皮股动脉途径的报道经验相比更具优势。鞘技术便于导管更换并减轻了患者不适。此外，在导管插入过程中可通过鞘的侧臂监测股动脉压力。这在主动脉瓣狭窄患者的逆行导管插入过程中以及冠状动脉造影期间检测冠状动脉导管尖端压力衰减和左心室造影后低血压时被证明是有帮助的。基于这一经验，当经股动脉途径进行左心导管插入且预计会使用几种不同导管时，使用动脉鞘已成为我们的标准操作。
