Dorros G, Stertzer S H, Myler R K, Kaltenbach M, Spring D A
Cathet Cardiovasc Diagn. 1983;9(6):547-52. doi: 10.1002/ccd.1810090604.
The brachial and femoral artery methods for (percutaneous) transluminal coronary angioplasty are compared. We attempted 901 angioplasties with 539 (59.8%) via the brachial and 362 (40.2%) via the femoral artery. The stenosis was crossed in 670 attempts (74%); in 410 (76%) via the brachial, and in 260 (72%) via the femoral artery. Successful angioplasty was achieved in 607 attempts (67%): in 370 (69%) via the brachial, and in 237 (65%) via the femoral artery. There was no difference between the techniques in crossing the stenosis or achieving a primary success. The left anterior descending artery stenosis was statistically more likely to be crossed than a stenosis in the right (p less than 0.001), circumflex (p less than 0.05), left main coronary artery (p less than 0.05), or saphenous vein graft (p less than 0.05); the left anterior descending artery stenosis was more likely (p less than 0.05) to be successfully dilated if the lesion were crossed (410 of 445 cases, 92%) than a right coronary stenosis (117 of 136 cases, 80%). The brachial and femoral artery methods are comparable techniques. Interventional angiographers performing coronary angioplasty should utilize the angiographic approach with which they are most familiar.
对用于（经皮）腔内冠状动脉成形术的肱动脉和股动脉方法进行了比较。我们尝试了901次血管成形术，其中539次（59.8%）经肱动脉进行，362次（40.2%）经股动脉进行。在670次尝试中（74%）成功穿过狭窄部位：经肱动脉的有410次（76%），经股动脉的有260次（72%）。607次尝试（67%）成功完成血管成形术：经肱动脉的有370次（69%），经股动脉的有237次（65%）。在穿过狭窄部位或取得初次成功方面，两种技术之间没有差异。与右冠状动脉（p<0.001）、回旋支（p<0.05）、左冠状动脉主干（p<0.05）或大隐静脉移植血管（p<0.05）的狭窄相比，左前降支动脉狭窄在统计学上更有可能被穿过；如果病变部位被穿过，左前降支动脉狭窄（445例中的410例，92%）比右冠状动脉狭窄（136例中的117例，80%）更有可能（p<0.05）成功扩张。肱动脉和股动脉方法是相当的技术。进行冠状动脉成形术的介入血管造影师应采用他们最熟悉的血管造影方法。
