经桡动脉途径行颈动脉支架置入术Transradial approach for carotid artery stenting
刘祖秋,傅国胜,周斌全,翁少翔
摘要(Abstract)：
目的探讨经桡动脉途径行颈动脉支架治疗的可行性及安全性。方法 2011年2月至2011年12月邵逸夫医院心内科行颈动脉造影明确颈动脉狭窄≥70%患者12例通过桡动脉途径行颈动脉支架置入术。探讨手术成功率和并发症情况。结果经桡动脉途径行颈动脉支架12例,左侧颈内动脉6例,右侧颈内动脉6例,均成功置入。平均手术时间(45±11)min。1例术中出现TIA,2小时后恢复,2例术中出现血压、心率下降,予对症处理后,立即恢复,无桡动脉闭塞及前臂血肿等并发症。结论经桡动脉途径行颈动脉支架治疗初步证明是安全可行的。
关键词(KeyWords)： 颈动脉;支架;桡动脉
基金项目(Foundation):
作者(Author): 刘祖秋,傅国胜,周斌全,翁少翔
参考文献(References)：
- [1]Campeau L.Percutaneous radial artery approach for coronary angiography.Cathet Cardiovasc Diagn,1989,16:3-7.
- [2]Kiemeneij F,Laarman GJ.Percutaneous transradial artery approach for coronary stent implantation.Cathet Cardiovasc Diagn,1993,30:173-178.
- [3]刘加立,蒋世良,郑宏,等.冠心病伴发颈动脉狭窄的分析.中华放射学杂志,2007,41:162-164.
- [4]费宇行,高连如,李贤峰,等.老年患者冠状动脉病变积分与颈动脉硬化的对比分析.中国介入心脏病学杂志,2006,17:168-169.
- [5]Saito S,Ikei H,Hosokawa G,et al.Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention.Catheter Cardiovasc Interv,1999,46:173-178.
- [6]Patel T,Shah S,Ranjan A.Contralateral transradial approach for carotid artery stenting:A feasibility study.Catheter Cardiovasc Interv,2010,75:268-275.
- [7]Folmar J,Sachar R,Mann T.Transradial approach for carotid artery stenting:A feasibility study.Cathetter Cardiovasc Interv,2007,69:355-361.
- [8]Mamas MA,Fath-Ordoubadi F,Fraser DG.Atraumatic complex transradial intervention using large bore sheathless guide catheter.Catheter Cardiovasc Interv,2008,72:357-364.
- [9]Sakai H,Ikeda S,Harada T,et al.Limitations of successive transradial approach in the same arm:The Japanese experience.Catheter Cardiovasc Interv,2001,54:204-208.
- [10]Bendszur M,Koltzenburg M,Burger R,et al.Silent embolism in diagnostic cerebral angiography and neurointerventional procedures:A prospective study.Lancet,1999,354:1594-1597.