Cázares-Díazleal Ac, R. Kiamco-Castillo, G. Payró-Ramírez, Betuel Ivey, Arce González
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引用次数: 0
摘要
自20世纪40年代以来,已经描述了各种创建血管通路的方法。1929年,当时的外科住院医师Werner Forssman首次使用导尿管进行导尿术1941年Fariñas描述了通过放置在股动脉中的套管针进行主动脉造影术的导尿管1947年,Radner通过剥离动脉暴露桡动脉并进行椎动脉造影。1949年Jönsson进行了主动脉造影术,在颈总动脉穿刺使用钝管和一根针,套管通过银丝插入。1953年,Sven Ivar Seldinger博士描述了一种技术,该技术包括使用针针进行穿刺,随后插入一根3cm的柔性导丝,取出针并压缩血管,同时导管穿过柔性导丝穿过穿刺部位,最后导丝被取出引导Dotter和Judkins(他们描述了冠状动脉造影的股骨通道)在1964年对一位83岁的患者进行了第一次腔内血管成形术,患者表现出骨盆肢体的温度下降和疼痛,并且拒绝截肢,他们使用了一种特氟龙涂层的导管来扩张狭窄区域。1977年,Andreas Gruetzing医生在人类身上进行了第一次成功的冠状动脉成形术,在他的导管上安装了一个气球。
Comparison between the right and left radial approach in coronariography
Since the 1940s, various methods for creating vascular access have been described. In 1929 Werner Forssman who at the time was a surgical resident performs the first catheterization using a urinary catheter.1 In 1941 Fariñas described the passage of a urinary catheter through a trocar placed in the femoral artery to perform an aortography.2 In1947 Radner through a dissecting artery exposed the radial artery and performed a vertebral angiography. In 1949 Jönsson performed an aortography performing a puncture at the common carotid artery using a blunt cannula with a needle the cannula was inserted through a silver wire. In 1953 Dr. Sven Ivar Seldinger described a technique which consisted of performing a puncture using a stylet, subsequently a 3cm flexible guidewire was inserted, the needle was withdrawn and the vessel was compressed, at the meantime a catheter was passed through the flexible guide wire through the puncture site and finally the guidewire was withdrawn guide.3 Dotter and Judkins (who described femoral access for coronary angiography) in 1964 performed the first transluminal angioplasty in an 83-year-old patient, showing a decrease in temperature and pain of a pelvic limb and who refused to be amputated, they used a teflon-coated catheter to dilate the stenotic area.4,5 In 1977 Dr. Andreas Gruetzing performed the first successful coronary angioplasty in a human being, a ballon was mounted at his catheter.