ISSN:0098-6569    

DOI:10.1002/ccd.1810250112

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

ISSN:0098-6569    

DOI:10.1002/ccd.1810250113

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

摘要:

AbstractSymptomatic patients with total superficial femoral artery occlusions were approached with a modified Dotter technique followed by PTA and/or atherectomy. In 21 lesions studied, 7 (33%) were crossed with a conventional guide wire. Of the remaining 14 lesions (67%), 12/14 (86%) were crossed successfully using the pliable distal tip of the sheath introducer. The average angiographic lesion length crossed was 42 ± 29 mm (range 8–109 mm). One insertion site vessel complication requiring surgical repair was seen. Although more advanced technologies have been developed to treat “wire resistant” total occlusions, the use of the introducer technique described is effective in many patients and adds no additional cost or time to the standard angioplasty pro

ISSN:0098-6569    

DOI:10.1002/ccd.1810250114

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

摘要:

AbstractInitially, endomyocardial biopsies were obtained almost exclusively using the jugular vein approach. Lately, the femoral vein route has gained popularity and in many centers, including ours, it is preferred. Despite this, guiding catheters specifically designed for endomyocardial biopsy via femoral vein approach are not available. Here, the experience with the Tampa Bay catheter, designed for endomyocardial biopsy using the femoral vein is described.From 1–1‐89 to 1–31‐90, a total of 486 endomyocardial biopsies were performed in 78 post‐heart transplant patients (1–17, mean 6 per patient); 106 were performed via internal jugular vein (22%) and 380 (78%) via femoral vein. Of these, 100 were performed using the Tampa Bay catheter. The remaining 280 biopsies were done using a long sheath or a Judkin's right coronary angioplasty guiding catheter.Biopsy specimens were adequate for diagnosis of rejection in all 106 biopsies performed via internal jugular vein (100%) in 99 of 100 biopsies via femoral vein using the Tampa Bay catheter (99%) and in 274 of the 280 (98%) biopsies using the long sheath or the right Judkin's coronary angioplasty guiding catheter (NS).The femoral vein is larger and easier to find than the internal jugular vein. More important, complications such as right pneu‐mothorax, Horner's syndrome, recurrent laryngeal nerve paralysis, and right phrenic nerve paralysis, known to occur when the internal jugular vein approach is used, can be completely avoided when the femoral vein app

ISSN:0098-6569    

DOI:10.1002/ccd.1810250115

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

摘要:

AbstractA new angioplasty sheath has been developed which permits a patient to sit up to a 60 degree Semi‐Fowler position post angioplasty with the sheath in place. To determine the safety of this device, we studied eleven (11) patients undergoing Percutaneous Transluminal Coronary Angioplasty (PTCA) compared with 11 PTCA patients treated in a standard fashion.The patients were evaluated for the length of time the sheath remained in place (study 17 ± 6 hours versus control 19 ± 5 hours), the time required to achieve hemostasis upon sheath removal (66 ± 52 minutes versus 81 ± 89 minutes), and the need for analgesics (frequency of 1.9 times versus frequency of 6.4 times per patient). Complications in the study group were 0 episodes of severe bleeding at the insertion site versus 1 episode in the control group, slight oozing in 8 study patients versus 7 control patients, small hematoma in 2 study patients versus 1 control patient, and large hematoma formation in 1 study patient versus 0 control patients.In summary, the use of a soft, flexible sheath allows the patient to safely site up in the Semi‐Fowler position post PTCA with significant improvement of dis

ISSN:0098-6569    

DOI:10.1002/ccd.1810250116

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

ISSN:0098-6569    

DOI:10.1002/ccd.1810250119

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

ISSN:0098-6569    

DOI:10.1002/ccd.1810250120

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

ISSN:0098-6569    

DOI:10.1002/ccd.1810250122

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

ISSN:0098-6569    

DOI:10.1002/ccd.1810250123

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY

ISSN:0098-6569    

DOI:10.1002/ccd.1810250101

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1992

数据来源: WILEY