马兆坤,徐承义,郭亚风,易东,杨政乐,鄢华

• 1:武汉科技大学附属亚洲心脏病医院心内科
• 2:武汉科技大学医学部医学院

摘要(Abstract)：

主动脉内球囊反搏（IABP）作为一种最常使用的经皮机械循环辅助装置，常规选择股动脉路径置入，但当股动脉路径置入困难或存在禁忌时，可以考虑其他路径包括肱动脉路径、腋动脉路径等。IABP辅助下行复杂、高危冠状动脉疾病患者（CHIP）介入治疗可以降低术中并发症发生风险，稳定血流动力学，使得CHIP病变完全血运重建率增高，从而改善远期预后。逆向导丝技术能够提高冠状动脉慢性完全闭塞（CTO）病变经皮冠状动脉介入治疗（PCI）的成功率，临床上逆向路径常选择正向路径以外的其他路径，如对侧桡动脉及肱动脉路径、股动脉路径等。本文报道1例双侧股动脉闭塞，选择左肱动脉路径置入IABP，继而在IABP辅助下，经右侧桡动脉正向以及右侧肱动脉逆向尝试开通右冠状动脉CTO病变且PCI成功的病例，以期为临床针对此类特殊病例行PCI提供参考。

关键词(KeyWords)： 主动脉内球囊反搏;左侧肱动脉;冠状动脉慢性完全闭塞病变;经皮冠状动脉介入治疗;逆向导丝技术

Abstract:

Keywords:

基金项目(Foundation): 2023年武汉市医学科研项目(WX23J02)

作者(Author): 马兆坤,徐承义,郭亚风,易东,杨政乐,鄢华

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