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经桡动脉 PCI 后预防桡动脉闭塞的策略。

Strategies to prevent radial artery occlusion after transradial PCI.

机构信息

The Wright Center for Graduate Medical Education, The Commonwealth Medical College, Scranton, PA, USA,

出版信息

Curr Cardiol Rep. 2014 Jul;16(7):505. doi: 10.1007/s11886-014-0505-4.

DOI:10.1007/s11886-014-0505-4
PMID:24890765
Abstract

Radial artery occlusion (RAO) is the most common structural consequence of transradial access (TRA) with an estimated incidence ranging from 2-10 %. Its occurrence is free of any major clinical consequences, especially at rest, with most if not all cases of digital ischemia occurring as a result of embolization, rather than RAO. The incidence of RAO is unacceptably high if "best practices" are not followed. Strategies to prevent RAO need to be implemented to preserve radial artery patency in order to exploit other benefits of TRA.

摘要

桡动脉闭塞(RAO)是经桡动脉入路(TRA)最常见的结构后果,其发生率估计为 2-10%。其发生没有任何重大临床后果,尤其是在休息时,大多数(如果不是全部)手指缺血的情况是由于栓塞而不是 RAO 引起的。如果不遵循“最佳实践”,RAO 的发生率是不可接受的。需要实施预防 RAO 的策略来保持桡动脉通畅,以利用 TRA 的其他益处。

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本文引用的文献

1
Initial experience with the Glidesheath Slender for transradial coronary angiography and intervention: a feasibility study with prospective radial ultrasound follow-up.Glidesheath Slender用于经桡动脉冠状动脉造影和介入治疗的初步经验:一项采用前瞻性桡动脉超声随访的可行性研究。
Catheter Cardiovasc Interv. 2014 Sep 1;84(3):436-42. doi: 10.1002/ccd.25232. Epub 2013 Nov 6.
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Best practices for transradial angiography and intervention: a consensus statement from the society for cardiovascular angiography and intervention's transradial working group.桡动脉血管造影和介入治疗的最佳实践:心血管造影和介入学会桡动脉工作组的共识声明
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经桡动脉脑血管造影术后并发症:一项超声随访研究
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Transradial approach for coronary procedures in the elderly population.老年人群冠状动脉介入治疗的桡动脉入路
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5
New technique for treatment of postcatheterization radial artery pseudoaneurysm.导管插入术后桡动脉假性动脉瘤的治疗新技术。
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经皮冠状动脉介入治疗中桡动脉入路的采用和与股动脉入路的结果比较:国家心血管数据登记处(2007-2012 年)的最新报告。
Circulation. 2013 Jun 11;127(23):2295-306. doi: 10.1161/CIRCULATIONAHA.112.000536.
4
Comparison of transradial and femoral approaches for percutaneous coronary interventions: a systematic review and hierarchical Bayesian meta-analysis.经桡动脉与股动脉入路行经皮冠状动脉介入治疗的比较:系统评价和分层贝叶斯荟萃分析。
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5
Comparison of a priori versus provisional heparin therapy on radial artery occlusion after transradial coronary angiography and patent hemostasis (from the PHARAOH Study).经桡动脉冠状动脉造影和止血有效后桡动脉闭塞的肝素预先治疗与临时治疗的比较(来自 PHARAOH 研究)。
Am J Cardiol. 2012 Jul 15;110(2):173-6. doi: 10.1016/j.amjcard.2012.03.007. Epub 2012 Apr 10.
6
Radial artery access technique evaluation trial: randomized comparison of Seldinger versus modified Seldinger technique for arterial access for transradial catheterization.桡动脉入路技术评估试验:经桡动脉穿刺置管的 Seldinger 与改良 Seldinger 技术的随机对照比较。
Catheter Cardiovasc Interv. 2012 Aug 1;80(2):288-91. doi: 10.1002/ccd.23445. Epub 2012 Mar 14.
7
Effect of duration of hemostatic compression on radial artery occlusion after transradial access.经桡动脉入路止血压迫时间对桡动脉闭塞的影响。
Catheter Cardiovasc Interv. 2012 Jan 1;79(1):78-81. doi: 10.1002/ccd.22963. Epub 2011 May 16.
8
Efficacy and safety of transient ulnar artery compression to recanalize acute radial artery occlusion after transradial catheterization.经桡动脉穿刺后发生急性桡动脉闭塞时,采用一过性尺动脉压迫法再通的疗效和安全性。
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Comparison of bivalirudin versus heparin on radial artery occlusion after transradial catheterization.经桡动脉入路导管术后对比比伐卢定与肝素对桡动脉闭塞的影响。
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Comparison of the effect of intra-arterial versus intravenous heparin on radial artery occlusion after transradial catheterization.经桡动脉导管插入术后动脉内与静脉内肝素对桡动脉闭塞影响的比较。
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