Hippéli R
Radiologe. 1982 Mar;22(3):133-40.
The primary approach to angiography of the distal aorta and its branches is transfemoral catheterization. Whenever this approach is contraindicated, the transaxillary way is an alternative of full value. The comparatively somewhat higher risk can be reduced to an acceptable minimum by the knowledge of damaging mechanisms and careful postangiographic control. The decrease of the angle between left subclavian artery and aortic arch in older patients renders the approach to the descending aorta more difficult and is the most frequent reason for failures. Since an ideal technique for managing this problem does not yet exist a review of some of the hitherto published suggestions is given, completed by experience of our own.
主动脉远端及其分支血管造影的主要方法是经股动脉插管。只要这种方法存在禁忌证,经腋动脉途径就是一种很有价值的替代方法。通过了解损伤机制并在血管造影后进行仔细的监测,可以将相对较高的风险降低到可接受的最低限度。老年患者左锁骨下动脉与主动脉弓之间夹角的减小,使得降主动脉的穿刺更加困难,这是操作失败最常见的原因。由于目前尚不存在解决这一问题的理想技术,本文在我们自身经验的基础上,对迄今已发表的一些建议进行了综述。