Angelini P, Leatherman L, Springer A, Krajcer Z, Lufschanowski R, Stamatiou E, Wagner E, Armbrust C, Leachman R
Cathet Cardiovasc Diagn. 1981;7(1):13-25. doi: 10.1002/ccd.1810070103.
Sixteen transluminal coronary angioplasty procedures (TCA), eight right coronary artery (RCA) and eight left anterior descending coronary artery (LAD), by the brachial artery cut-down approach, were attempted with 9/16 (56%) immediate successes and 2/16(12%) early recurrences. The procedure success rate for RCA obstructive lesions, 6/8 (75%) was greater than for LCA obstructions, 3/8 (38%). In six unsuccessful procedures the balloon catheter could not be advanced into the lesion, and in one unsuccessful procedure dissection of the coronary artery proximal to the lesion occurred. The brachial (Sones) technique for transluminal coronary angioplasty permits the use of softer guiding catheters for selective probing and approach to the coronary lesion but may be more likely to induce coronary spasm. Complete and high-resolution pre TCA angiograms with multiple views to disclose the exact anatomy of the coronary artery and its lesion is essential to ensure successful dilatation.
采用经肱动脉切开法尝试进行了16例经腔冠状动脉血管成形术（TCA），其中8例针对右冠状动脉（RCA），8例针对左冠状动脉前降支（LAD），即刻成功率为9/16（56%），早期复发率为2/16（12%）。RCA阻塞性病变的手术成功率为6/8（75%），高于左冠状动脉（LCA）阻塞病变的成功率3/8（38%）。在6例手术未成功的病例中，球囊导管无法推进至病变部位，在1例手术未成功的病例中，病变近端的冠状动脉发生了夹层。经腔冠状动脉血管成形术的肱动脉（索尼斯）技术允许使用更柔软的引导导管进行选择性探查并接近冠状动脉病变，但可能更易诱发冠状动脉痉挛。术前进行完整且高分辨率的多角度TCA血管造影以揭示冠状动脉及其病变的确切解剖结构对于确保成功扩张至关重要。
