经右侧桡动脉入径行选择性左乳内动脉造影5例体会
高翔宇,赵慧强,陈晖,李东宝,姚道阔,周力,丁晓松,李虹伟
摘要(Abstract):
<正>1背景由于与静脉移植桥相比,左乳内动脉(left internal mammary artery,LIMA)具有显著优越的远期通畅率,被广泛用作旁路移植物[1]。因此,在诊断性冠状动脉造影检查后,当患者被判断为适合行冠状动脉旁路移植术(coronary artery bypass grafting,CABG)时,应进行LIMA的术前评估,以确保在用作旁路移植物之前通畅。另一方面,对于使用LIMA作为桥血管的CABG术后患者,如再次评价桥血管通畅情况时,也需要行LIMA造影检查。LIMA桥血管造影检查和介入治疗的经典入路为股动脉入径,近年来采用左侧桡动脉入径造影有所增加[2]。越来越多的证据支持经桡动脉入径进行介入治疗可改善患者预后,提高医
关键词(KeyWords): 经桡动脉入径;冠状动脉造影;左乳内动脉
基金项目(Foundation):
作者(Author): 高翔宇,赵慧强,陈晖,李东宝,姚道阔,周力,丁晓松,李虹伟
参考文献(References):
- [1] Loop FD, Lytle BW, Cosgrove DM, at al. Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. N Engl J Med, 1986,314(1):1-6.
- [2]高翔宇,陈晖,李东宝,等.经左桡动脉药物洗脱支架治疗左乳内动脉桥血管开口病变二例.中国介入心脏病学杂志, 2013,21(4):258-259.
- [3] Neumann FJ, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Kardiol Pol, 2018,76(12):1585-1664.
- [4] Ibanez B, James S, Agewall S,et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Kardiol Pol, 2018,76(2):229-313.
- [5] Louvard Y. Graft angiography via the right transradial approach:Endovascular therapy course coronary and peripheral:ninth complex coronary angioplasty course book. Marco J, Fajadet J. Paris:Europa Edition,1998:325-327.
- [6] Yabe J, Hirose Y, Kouchi N, et al. Is LIMA angiography possible with right radial approach? the use of Left Judkins 1.0(BABY Judkins). Jpn J Intervent Cardiol,1998,13(Suppl I):169.
- [7] Cha KS, Kim MH. Feasibility and safety of concomitant left internal mammary arteriography at the setting of the right transradial coronary angiography. Catheter Cardiovasc Interv, 2002,56(2):188-195.
- [8] Valsecchi O, Vassileva A. Safety and feasibility of selective angiography of left internal mammary artery grafts via right transradial approach.Indian Heart J,2010,62(3):255-257.
- [9] García-Touchard A, Fernández-Díaz JA, Francisco DO, et al.Intraarterial guidewire external compression:a simple technique for successful LIMA angiography through the right radial approach. J Interv Cardiol, 2008,21(2):175-177.