de Lange S S, Boscoe M J, Stanley T H
Br J Anaesth. 1981 Nov;53(11):1167-72. doi: 10.1093/bja/53.11.1167.
The success rate, frequency of complications and changes in systolic arterial pressure and heart rate during percutaneous pulmonary artery catheterization via an antecubital vein were evaluated before induction of anaesthesia in 84 patients about to undergo cardiac surgery. Serious complications were angina (2%) and a small tear in the tricuspid valve (one patient). If one of the basilic veins was used, the success rate was 93%. When it was necessary to use a cephalic vein, the success rate decreased to 60%. Overall success rate was 75%. Placing the catheter in the pulmonary artery resulted in an immediate increase in systolic arterial pressure in all patients and a significant increase in heart rate in patients not taking beta-adrenergic blocking drugs. This study demonstrates that percutaneous catheterization of the pulmonary artery via the basilic vein is a simple, safe, effective technique associated with few complications.
在84例即将接受心脏手术的患者中，于麻醉诱导前评估了经肘前静脉进行经皮肺动脉导管插入术的成功率、并发症发生率以及收缩压和心率的变化。严重并发症为心绞痛（2%）和三尖瓣小撕裂（1例患者）。若使用一条贵要静脉，成功率为93%。当必须使用头静脉时，成功率降至60%。总体成功率为75%。将导管置入肺动脉导致所有患者的收缩压立即升高，且未服用β-肾上腺素能阻滞剂的患者心率显著增加。本研究表明，经贵要静脉进行肺动脉的经皮导管插入术是一种简单、安全、有效的技术，并发症较少。
