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目的：探讨锁骨下动脉（ＳＣＡ）穿刺插管的安全性和临床应用价值。材料与方法：２５６例胸、腹及盆腔疾病需行介入治疗的患者，行左锁骨下动脉穿刺和选择性及超选择性插管。结果：ＳＣＡ穿刺插管技术成功率为１００％，经ＳＣＡ超选择插管成功率为９８％（１８７／１９０）。为胸、腹、盆腔恶性肿瘤建立动脉内导管药盒系统２１７例。超选择性插管为行胃十二指肠动脉、肠系膜上动脉或肝动脉分支栓塞３７例。行髂总动脉造影１例，行髂外动脉溶栓及球囊扩张和支架植入术１例。并发症包括气胸８例，其中大量气胸３例；１例血胸患者行闭式引流治疗后愈合；局部大血肿３例，其中１例休克，经抗休克及手术缝扎ＳＣＡ后痊愈。结论：经皮左锁骨下动脉穿刺插管是一种安全、有效的方法，可广泛用于胸部、腹部、盆腔及双下肢的动脉造影及介入治疗，是经股动脉入路的必要补充。尤其适用于需行动脉内导管药盒系统植入术者
Objective: To investigate the safety and clinical value of subclavian artery (SCA) puncture and intubation. MATERIALS AND METHODS: Two hundred and six patients with thoracic, abdominal and pelvic diseases requiring interventional therapy underwent left subclavian artery puncture and selective and superselective intubation. Results: The success rate of SCA puncture and intubation was 100%. The success rate of SCA superselective intubation was 98% (187/190). 217 cases of intra-arterial catheterization kit for thoracic, abdominal and pelvic malignant tumors. Superselective intubation of gastric gastroduodenal artery, superior mesenteric artery or hepatic artery embolization in 37 cases. One case of common iliac artery angiography, external iliac artery thrombolysis and balloon dilatation and stent implantation in 1 case. The complications included 8 cases of pneumothorax, 3 cases of massive pneumothorax, 1 case of hemothorax healed by closed drainage and 3 cases of local large hematoma, of which 1 case was shocked and healed after anti-shock and surgical suture of SCA. Conclusion: Percutaneous left subclavian catheterization is a safe and effective method. It can be widely used in arteriography and interventional treatment of the chest, abdomen, pelvis and both lower extremities. It is a necessary complement to the femoral artery approach. Especially for those who need intra-arterial catheter kit system implants