腋窝动脉直径与股总动脉直径的CT血管造影分析:腋窝入路经导管主动脉瓣置换术对不良髂主动脉段和晚期肺部疾病患者的意义

IF 2.5 Q2 PERIPHERAL VASCULAR DISEASE
International Journal of Vascular Medicine Pub Date : 2016-01-01 Epub Date: 2016-03-27 DOI:10.1155/2016/3610705
Rajiv Tayal, Humayun Iftikhar, Benjamin LeSar, Rahul Patel, Naveen Tyagi, Marc Cohen, Najam Wasty
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引用次数: 40

摘要

目标。在经皮介入治疗中,由于桡动脉或肱动脉手术的成功,腋窝动脉作为进入点已经失去了青睐。然而,这些远端接入点无法安全地容纳大于7-French鞘的任何东西。到目前为止,还没有研究描述患者群体中腋窝动脉相对于股总动脉的大小。我们假设在大多数患者中,腋窝动脉与CFA大小相当,患病的频率较低。方法。我们回顾性回顾了我院110例胸腹主动脉的CT扫描,以排除出现右侧腋窝动脉、右侧CFA、左侧腋窝动脉和左侧CFA的主动脉夹层。然后使用市售的TeraRecon软件重建图像,并对腋窝和股动脉进行比较测量。结果。在96例资料完整的患者中,左右腋窝动脉的平均大小略小于左右CFA。直接比较同一患者腋窝动脉和CFA的大小,平均差为1.69 mm±1.74。在所有患者中,腋窝动脉与CFA的平均差值分别为右侧1.88 mm和左侧1.68 mm。在19例(19.8%)患者中,腋窝动脉与相关CFA的口径相同。96例患者中有8例(8.3%)腋窝动脉比CFA动脉大。结论。虽然腋窝动脉通常较小,但其大小通常与CFA相当,钙化或病变的频率明显较低,并且在几乎所有观察到的病例中,腋窝动脉都足够大,可容纳多达18个French的鞘。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CT Angiography Analysis of Axillary Artery Diameter versus Common Femoral Artery Diameter: Implications for Axillary Approach for Transcatheter Aortic Valve Replacement in Patients with Hostile Aortoiliac Segment and Advanced Lung Disease.

Objective. The use of the axillary artery as an access site has lost favor in percutaneous intervention due to the success of these procedures from a radial or brachial alternative. However, these distal access points are unable to safely accommodate anything larger than a 7-French sheath. To date no studies exist describing the size of the axillary artery in relation to the common femoral artery in a patient population. We hypothesized that the axillary artery is of comparable size to the CFA in most patients and less frequently diseased. Methods. We retrospectively reviewed 110 CT scans of the thoracic and abdominal aorta done at our institution to rule out aortic dissection in which the right axillary artery, right CFA, left axillary artery, and left CFA were visualized. Images were then reconstructed using commercially available TeraRecon software and comparative measurements made of the axillary and femoral arteries. Results. In 96 patients with complete data, the mean sizes of the right and left axillary artery were slightly smaller than the left and right CFA. A direct comparison of the sizes of the axillary artery and CFA in the same patient yielded a mean difference of 1.69 mm ± 1.74. In all patients combined, the mean difference between the axillary artery and CFA was 1.88 mm on the right and 1.68 mm on the left. In 19 patients (19.8%), the axillary artery was of the same caliber as the associated CFA. In 8 of 96 patients (8.3%), the axillary artery was larger compared to the CFA. Conclusions. Although typically smaller, the axillary artery is often of comparable size to the CFA, significantly less frequently calcified or diseased, and in almost all observed cases large enough to accommodate a sheath with up to 18 French.

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来源期刊
International Journal of Vascular Medicine
International Journal of Vascular Medicine PERIPHERAL VASCULAR DISEASE-
CiteScore
3.50
自引率
0.00%
发文量
7
审稿时长
16 weeks
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