Preliminary study on coronary artery interventional procedure assisted by guide wire and balloon assisted 360° twisting radial artery straightening technique
10.3969/j.issn.1004-8812.2023.11.005
- VernacularTitle:导丝联合球囊辅助360°迂曲桡动脉拉直技术完成冠状动脉介入操作的初步探讨
- Author:
Xue-Qiang ZHAO
1
;
Jin-Yu PAN
;
Yu-Cai YAO
;
Jia-Min LI
;
Fei ZHENG
Author Information
1. 250014 山东济南,山东第一医科大学第一附属医院(山东省千佛山医院)心血管内科
- Keywords:
Radial artery;
Coronary heart disease;
Coronary angiography;
Percutaneous transluminal coronary angioplasty;
Percutaneous coronary intervention
- From:
Chinese Journal of Interventional Cardiology
2023;31(11):835-841
- CountryChina
- Language:Chinese
-
Abstract:
Objective Coronary arteriography(CAG)and percutaneous coronary intervention(PCI)are the most effective methods for the treatment of coronary atherosclerotic heart disease(CAD),but radial artery vascular variation,especially the presence of 360° tortuous(annular tortuous)radial artery seriously affects the success rate of trans-radial artery approach(TRA)interventional operation.This article provides a preliminary exploration of CAG and PCI through the annular tortuous radial artery.Methods We retrospectively analyzed 15 patients with annular tortuous right radial artery who successfully completed CAG or PCI by annular tortuous radial artery,and summarized the procedures performed through the annular tortuous radial artery.Results We found that the annular tortuous radial artery could be passed through by the catheter with the assistance of percutaneous transluminal coronary angioplasty(PTCA)guide wire or combined with a diameter of 2.0 mm balloon(6-8 atm dilatation state),and then the PTCA wire and the balloon can be replaced with a coronary angiography guide wire after the catheter passed through annular tortuous radial artery,and finally the annular tortuous radial artery could be straightened by fixing the coronary angiography guide wire and rotating and pulling the catheter.Finally,the catheter could be advanced to the coronary orifice and subsequent CAG or PCI could be performed while the annular tortuous radial artery was kept straightening.Both the left and right coronary arteries could perform coronary intervention using this technique,and there were no complications such as forearm hematoma or vascular rupture after this operation.Conclusions It is possible to successfully complete the coronary interventional therapy through annular tortuous radial artery by using the technique with the help of PTCA wire combined with balloon.
