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一种用于主动脉瓣狭窄时左心室逆行导管插入术的安全快速技术。

A safe and rapid technique for retrograde catheterization of the left ventricle in aortic stenosis.

作者信息

Laskey W K, Untereker W J, Kusiak V, Martin J L, Groh W C, Hirshfeld J W

出版信息

Cathet Cardiovasc Diagn. 1982;8(4):429-35. doi: 10.1002/ccd.1810080413.

DOI:10.1002/ccd.1810080413
PMID:7127468
Abstract

The present report describes our experience in 82 patients with a pigtail-straight guide wire system for crossing stenotic aortic valves. The technique was successful in 95% of all the attempts and the average fluoroscopic time was three minutes. There were no major complications of the procedure. The technique allowed for consistent, high quality ventriculograms in 73 patients enabling us to define the severity of concomitant mitral regurgitation in 27 of the patients, as well as a preoperative ejection fraction in all 73 patients. We conclude that the technique as described is a safe and efficient way to obtain both hemodynamic and angiographic information at minimum risk in patients with severe aortic stenosis.

摘要

本报告描述了我们使用猪尾-直导丝系统穿过狭窄主动脉瓣的82例患者的经验。该技术在所有尝试中95%取得成功,平均透视时间为3分钟。该操作无重大并发症。该技术使73例患者获得了一致、高质量的心室造影,使我们能够确定27例患者合并二尖瓣反流的严重程度,并确定所有73例患者的术前射血分数。我们得出结论,所述技术是一种安全有效的方法,可在严重主动脉瓣狭窄患者中以最小风险获取血流动力学和血管造影信息。

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引用本文的文献

1
Retrograde transfemoral catheterization of the left ventricle in children with aortic valve stenosis.主动脉瓣狭窄患儿经股动脉逆行左心室导管插入术。
Pediatr Cardiol. 1986;7(2):79-82. doi: 10.1007/BF02328955.