Seggewiss H, Fassbender D, Schmidt H K, Hurtado R, Gleichmann U
Kardiologische Klinik, Herz- und Diabeteszentrum Nordrhein-Westfalen, Universitätsklinik der Ruhr-Universität Bochum, Bad Oeynhausen.
Z Kardiol. 1993 Oct;82(10):628-31.
Because of the increasing use of the internal mammaria artery (IMA) in bypass grafting pre- and postoperative angiography of the artery is more often necessary. Selective IMA angiography is frequently difficult and time- and fluoroscopy-consuming. Therefore, different procedures of nonselective angiography have been developed. We report on the improved nonselective visualization of the IMA by manual injection in the subclavian artery and simultaneous ipsilateral compression of the brachial artery by inflating a blood pressure cuff above systolic blood pressure. Thereby a reduction of fluoroscopy time is possible without significant loss of diagnostic information.
由于在旁路移植术中乳内动脉(IMA)的使用越来越多,术前和术后对该动脉进行血管造影变得更加必要。选择性IMA血管造影常常很困难,且耗时且需要大量透视。因此,已开发出不同的非选择性血管造影方法。我们报告了通过在锁骨下动脉手动注射并同时通过将血压袖带充气至收缩压以上对肱动脉进行同侧压迫来改善IMA的非选择性可视化。由此可以减少透视时间,而不会显著损失诊断信息。