经腋动脉路径的体外膜肺氧合插管辅助经皮冠状动脉介入治疗1例  

A case of extracorporeal membrane oxygenation intubation assisted percutaneous coronary intervention through axillary artery approach

作　　者：杨政乐 徐承义 易东 徐晓蝶 宋丹 罗婷[1,2] 鄢华 YANG Zheng-le;XU Cheng-yi;YI Dong;XU Xiao-die;SONG Dan;LUO Ting;YAN Hua(Department of Cardiology,Asia Heart Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430022,China;Medical College,Wuhan University of Science and Technology,Wuhan 430062,China)

机构地区：[1]武汉科技大学附属武汉亚洲心脏病医院心内科,武汉430022 [2]武汉科技大学医学部医学院,武汉430062

出　　处：《中国介入心脏病学杂志》2024年第6期357-360,共4页Chinese Journal of Interventional Cardiology

基　　金：湖北省卫生厅科研项目(QJX2012-35)。

摘　　要：静脉-动脉体外膜肺氧合技术是一种可以减少接受高危复杂的经皮冠状动脉介入治疗患者围术期发生心原性休克等不良事件的有效手段。国内常规静脉-动脉体外膜肺氧合技术路径的选择主要是股动脉和股静脉,而通过腋动脉路径进行体外膜肺氧合置管的病例较为少见。但在国外,腋动脉插管静脉-动脉体外膜肺氧合循环辅助模式已被视为治疗危重症患者的常规临床路径之一。本病例报道1例老年男性患者因股动脉入路困难,而选择右侧腋动脉路径置入体外膜肺氧合辅助循环,进行高危复杂的经皮冠状动脉介入治疗,并最终救治成功的案例。以期为临床行体外膜肺氧合技术路径的选择提供借鉴。Veno-arterial extracorporeal membrane oxygenation is an effective method to reduce perioperative adverse events such as cardiogenic shock in patients undergoing complex highrisk indicated percutaneous coronary intervention.Femoral artery and femoral vein are the main routes for conventional veno-arterial extracorporeal membrane oxygenation in China,while the cases of extracorporeal membrane oxygenation insertion via axillary artery are relatively rare.However,the axillary artery intubation veno-arterial extracorporeal membrane oxygenation assisted mode has been regarded as one of the routine clinical paths for the treatment of critically ill patients in foreign countries.This paper reports a case of an elderly male patient who underwent high risk and complex percutaneous coronary interventional therapy by right axillary artery implantation with extracorporeal membrane oxygenation assisted circulation due to the difficulty of femoral artery approach.In order to provide reference for the selection of clinical extracorporeal membrane oxygenation technique route.

关 键 词：腋动脉 体外膜肺氧合 经皮冠状动脉介入治疗 

分 类 号：R54[医药卫生—心血管疾病]