经皮肱动脉穿刺插管(附42例报告)

Percuteneous Brachial Artery Puncture for Cathetenization(Areport of 42 Cases)

作者报告42例53次经皮肱动脉穿刺插管术,穿刺肱动脉均成功,选择性肝动脉、肠系膜上动脉、膈下动脉、肾动脉、髂动脉、股动脉及它们分支动脉插管66次,除一次未能进入肝固有动脉外,均获成功。两例保留导管治疗。全组无重要并发症发生。本文对适应证的选择、操作技术及并发症等问题进行了探讨。

Over a 2 year period,53 transbrachial approachs were selectively performed in 42 cases.5～6F catheters were insertend directly over a guide-wire vie a puncture site 1～3cm over the antecubital fossa of left arm,where the artery would be less mobile.Selective cathetenization of the hepatic artery,superior mesenterie artery,infradiaphragmatic artery,renal artery,internalilliac artery,femoral artery and their branches were suessesfully achieved.No significant complications were encountered.This method proved to be a safe,reliable and well-tolerated ahernetive,though the exemination technique was more in demanding.The indications,techniques and complications of the method were discussed.