Freeman D J
Cathet Cardiovasc Diagn. 1978;4(3):305-10. doi: 10.1002/ccd.1810040313.
Employing a new catheter and technique complete retrograde left heart catheterization was accomplished in 96 of 100 consecutive patients. These 96 patients included 37 with ischemic heart disease, 13 of 17 with isolated aortic valve deformities, 11 with isolated rheumatic mitral valve deformities, 10 with combined rheumatic aortic and mitral valve deformities, and 25 with other problems. The only failures were in 4(of 27) patients with aortic valve deformities. No untoward complications occurred. The retrograde catheterization fluoroscopy time was usually less than 2 minutes. The shortest time was 44 seconds, the longest, 6 minutes and 2 seconds. These data indicate that this new catheterization method achieves safe, reliable (when the aortic valve is not deformed), simple, and rapid complete left heart catheterization. They further indicate it may be useful in assessing patients with mitral stenosis, pulmonary hypertension, hypertrophic obstructive cardiomyopathy, and left-to-right shunt problems.
采用一种新的导管和技术，在连续100例患者中的96例成功完成了逆行性左心导管插入术。这96例患者包括37例缺血性心脏病患者、17例单纯主动脉瓣畸形患者中的13例、11例单纯风湿性二尖瓣畸形患者、10例风湿性主动脉瓣和二尖瓣联合畸形患者以及25例其他问题患者。仅有的失败病例是27例主动脉瓣畸形患者中的4例。未发生不良并发症。逆行导管插入术的透视时间通常少于2分钟。最短时间为44秒，最长时间为6分2秒。这些数据表明，这种新的导管插入方法可实现安全、可靠（当主动脉瓣未变形时）、简单且快速的完全左心导管插入术。它们还进一步表明，该方法可能有助于评估二尖瓣狭窄、肺动脉高压、肥厚性梗阻性心肌病以及左向右分流问题的患者。
