Fergusson D J, Kamada R O
Cathet Cardiovasc Diagn. 1981;7(1):111-4. doi: 10.1002/ccd.1810070116.
Percutaneous entry of the brachial artery using a sheath system has been attempted in 223 patients undergoing left heart catheterization; successfully, in 212. After arterial puncture, a dilator and sheath are passed over a short guidewire. A number 7-80 cm Sones specially stiffened coronary catheter is passed through the sheath, and left heart catheterization is performed in the usual manner. The study can usually be completed with this single catheter. Initial entry, as well as any needed catheter change, is facilitated by the use of an inflatable sphygmomanometer cuff around the upper arm. Ease of manipulation and patient comfort have been satisfactory, and brachial artery spasm has not been encountered. There have been no major complications and a low incidence (approximately 15%) of brachial arterial occlusion.
223例接受左心导管检查的患者尝试了使用鞘管系统经皮进入肱动脉；其中212例成功。动脉穿刺后，通过一根短导丝置入扩张器和鞘管。将一根7号、80厘米长的特别硬化的索尼斯冠状动脉导管穿过鞘管，然后以常规方式进行左心导管检查。通常使用这根单一导管就能完成检查。通过在上臂使用充气式血压计袖带，便于初始进入以及任何必要的导管更换。操作的便利性和患者的舒适度都令人满意，且未遇到肱动脉痉挛。没有发生重大并发症，肱动脉闭塞的发生率较低（约15%）。
