Hoang V, Urban P, Chatelain P, Metz D, Camenzind E, Brzostek T, Rutishauser W
Cardiology Center, University Hospital, Geneva, Switzerland.
Cathet Cardiovasc Diagn. 1995 May;35(1):53-6. doi: 10.1002/ccd.1810350110.
In order to evaluate 6 French (6F) Voda-type guiding catheters for left coronary artery balloon angioplasty, we randomized the choice of the guiding catheter in 100 consecutive patients between a Voda (group 1, n = 50) and a Judkins or Amplatz curve (group 2) guiding catheter. Angioplasty success rate (98% for both), need for guiding catheter crossover exchange (2 in group 1 vs. 1 in group 2), fluoroscopy time, and volume of injected contrast were similar in both groups, but the operator's appreciation of good back-up support was better with the Voda-type guiding catheter (90% vs. 74%, P < 0.05). No complications attributed to the guiding catheter were noted in either group. Efficiency of the Voda-type guiding catheter appeared similar for both left anterior descending (n = 35, success rate 100%) and circumflex (n = 18, success rate 94%) coronary artery angioplasty. Voda-type guiding catheters are an efficient and safe approach to routine left coronary angioplasty. They appear to be as effective as a choice between a Judkins or an Amplatz configuration and could be of particular use when a double angioplasty of the left anterior descending and circumflex arteries is attempted during the same procedure.
为了评估用于左冠状动脉球囊血管成形术的6F沃达（Voda）型引导导管，我们将100例连续患者的引导导管选择随机分为沃达型（第1组，n = 50）和Judkins或Amplatz弯型（第2组）引导导管。两组的血管成形术成功率（均为98%）、引导导管交叉更换需求（第1组2例 vs. 第2组1例）、透视时间和注入造影剂的量相似，但术者对沃达型引导导管良好支撑的评价更高（90% vs. 74%，P < 0.05）。两组均未发现与引导导管相关的并发症。对于左前降支（n = 35，成功率100%）和回旋支（n = 18，成功率94%）冠状动脉血管成形术，沃达型引导导管的效率似乎相似。沃达型引导导管是常规左冠状动脉血管成形术的一种有效且安全的方法。它们似乎与Judkins或Amplatz构型的导管一样有效，并且在同一手术过程中尝试对左前降支和回旋支动脉进行双血管成形术时可能特别有用。
