讲者:左乔,海军军医大学附属长海医院
*本文为方便读者阅读,仅做简要整理
完整学习请以视频为主
![](https://medtion-image.medtion.com/pgc/20230831/973c399879a70424d0295d5de066e1d5.png?x-oss-process=image/watermark,image_d2F0ZXJtYXJrL25hb3lpaHVpLnBuZz94LW9zcy1wcm9jZXNzPWltYWdlL3Jlc2l6ZSxQXzE1)
![](https://medtion-image.medtion.com/pgc/20230831/c1bd61917a229c6acc9b0a5cd95c84cc.png?x-oss-process=image/watermark,image_d2F0ZXJtYXJrL25hb3lpaHVpLnBuZz94LW9zcy1wcm9jZXNzPWltYWdlL3Jlc2l6ZSxQXzE1)
![](https://medtion-image.medtion.com/pgc/20230831/bb034fe4d7d493023b9bd92b939cce6e.png?x-oss-process=image/watermark,image_d2F0ZXJtYXJrL25hb3lpaHVpLnBuZz94LW9zcy1wcm9jZXNzPWltYWdlL3Jlc2l6ZSxQXzE1)
![](https://medtion-image.medtion.com/pgc/20230831/36af7655d797b7174920c9a769518dc9.png?x-oss-process=image/watermark,image_d2F0ZXJtYXJrL25hb3lpaHVpLnBuZz94LW9zcy1wcm9jZXNzPWltYWdlL3Jlc2l6ZSxQXzE1)
经桡CAS关键问题
1.经桡入路的共性问题:
桡动脉直径、穿刺、弓上血管和弓的相互关系......
2.通路和支架选择
3.通路建立与稳定性
4.特殊技术
![](https://medtion-image.medtion.com/pgc/20230831/c9e8dda6bbb494589fee7170b8f08410.png?x-oss-process=image/watermark,image_d2F0ZXJtYXJrL25hb3lpaHVpLnBuZz94LW9zcy1wcm9jZXNzPWltYWdlL3Jlc2l6ZSxQXzE1)
技术特点
6F导引导管/中间导管输送,交换技术/R-DAS技术;
088长鞘的输送,R-DAS技术;
支架选择:
6F 导引导管 :
Precise、Xpert pro、Wallstent (7/40以下)
088 长鞘:
Acculink、Xact、Wallstent (7/40以上)
技术特点
经桡行左侧CAS,重点是保证长鞘/导引导管的稳定性:
长鞘比导引导管/中间导管更加稳定;
R-DAS技术、特洛伊木马技术;
支撑导丝的合理使用。
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