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经桡动脉入路行冠状动脉造影术的管理。

Management of transradial access for coronary angiography.

机构信息

Wexner Medical Center, The Ohio State University Medical Center Ross Heart Hospital, Columbus, OH 43210, USA.

出版信息

J Cardiovasc Nurs. 2013 Sep-Oct;28(5):468-72. doi: 10.1097/JCN.0b013e3182648351.

DOI:10.1097/JCN.0b013e3182648351
PMID:22990233
Abstract

The transradial approach for percutaneous coronary intervention and angiography has been shown to be a safe and effective alternative to the traditional transfemoral approach. Used extensively throughout Europe for the past 15 years, this technique has recently gained widespread popularity throughout the United States. Lower direct costs, fewer vascular complications, better patient acceptance, and earlier ambulation are some of the direct benefits from using radial access. To date, however, there has been no literature published regarding best practices or evidence-based guidelines for postprocedural radial access care. This article will discuss the advantages of transradial access in detail, as well as activity progression based on best practices performed at The Ohio State University Wexner Medical Center Richard M. Ross Heart Hospital.

摘要

经皮冠状动脉介入治疗和血管造影的经桡动脉入路已被证明是一种安全有效的替代传统经股动脉入路的方法。该技术在过去的 15 年中在欧洲得到广泛应用,最近在美国也得到了广泛的认可。使用桡动脉入路的直接好处包括更低的直接成本、更少的血管并发症、更好的患者接受程度和更早的活动能力恢复。然而,目前还没有关于经桡动脉入路术后护理的最佳实践或循证指南的文献发表。本文将详细讨论经桡动脉入路的优点,以及俄亥俄州立大学韦克斯纳医学中心理查德 M. 罗斯心脏医院根据最佳实践进行的活动进展。

相似文献

1
Management of transradial access for coronary angiography.经桡动脉入路行冠状动脉造影术的管理。
J Cardiovasc Nurs. 2013 Sep-Oct;28(5):468-72. doi: 10.1097/JCN.0b013e3182648351.
2
Transulnar artery approach for percutaneous coronary intervention: an alternative route in a patient with challenging transfemoral access and hypoplastic radial artery.经尺动脉入路行冠状动脉介入治疗:在经股动脉入路困难和尺动脉发育不良的患者中的另一种选择。
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Transradial interventions: our experience.经桡动脉介入治疗:我们的经验。
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Decreased complication rates using the transradial compared to the transfemoral approach in percutaneous coronary intervention in the era of routine stenting and glycoprotein platelet IIb/IIIa inhibitor use: a large single-center experience.在常规使用支架和糖蛋白血小板IIb/IIIa抑制剂的时代,经桡动脉途径与经股动脉途径相比,在经皮冠状动脉介入治疗中并发症发生率降低:一项大型单中心经验。
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Transulnar approach as an alternative access site for coronary invasive procedures after transradial approach failure.经桡动脉途径失败后,经尺动脉入路作为冠状动脉介入治疗的一种替代入路方法。
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Immediate results of percutaneous coronary intervention for unprotected left main coronary artery stenoses: transradial versus transfemoral approach.经皮冠状动脉介入治疗无保护左主干冠状动脉狭窄的即刻结果:桡动脉与股动脉入路对比
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引用本文的文献

1
Frequency and Predictors of Radial Artery Occlusion in Patients Undergoing Percutaneous Coronary Intervention.接受经皮冠状动脉介入治疗患者桡动脉闭塞的发生率及预测因素
Cureus. 2022 May 30;14(5):e25505. doi: 10.7759/cureus.25505. eCollection 2022 May.
2
Influence of remote ischemic conditioning on radial artery occlusion.远程缺血预处理对桡动脉闭塞的影响。
Heart Vessels. 2019 May;34(5):771-776. doi: 10.1007/s00380-018-1310-6. Epub 2019 Mar 5.
3
Postprocedural radial artery occlusion rate using a sheathless guiding catheter for left ventricular endomyocardial biopsy performed by transradial approach.
经桡动脉途径使用无鞘引导导管进行左心室心内膜活检后的桡动脉闭塞率。
BMC Cardiovasc Disord. 2016 Dec 8;16(1):253. doi: 10.1186/s12872-016-0432-y.
4
Radial access during percutaneous interventions in patients with acute coronary syndromes: should we routinely monitor radial artery patency by ultrasonography promptly after the procedure and in long-term observation?急性冠状动脉综合征患者经皮介入治疗时的桡动脉入路:我们是否应该在术后立即以及长期观察中常规通过超声检查监测桡动脉通畅情况?
Int J Cardiovasc Imaging. 2015 Jan;31(1):31-6. doi: 10.1007/s10554-014-0518-5. Epub 2014 Aug 22.
5
Transradial approach for the endovascular treatment of type I endoleak after aortic aneurysm repair: a case report.经桡动脉途径用于腹主动脉瘤修复术后Ⅰ型内漏的血管内治疗:一例报告
BMC Surg. 2013;13 Suppl 2(Suppl 2):S47. doi: 10.1186/1471-2482-13-S2-S47. Epub 2013 Oct 8.