Voudris Konstantinos V, Habibi Martha, Karyofillis Panagiotis, Vidovich Mladen I
Department of Medicine, University of Illinois at Chicago/Advocate Christ Medical Center, Chicago, IL, USA.
Division of Interventional Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.
Curr Treat Options Cardiovasc Med. 2016 Dec;18(12):73. doi: 10.1007/s11936-016-0499-x.
The volume of cardiac diagnostic procedures involving the use of ionizing radiation has increased rapidly in recent years, and the radiation exposure experienced by patients undergoing any medical imaging procedure has recently obtained a growing attention. Transradial (TR) access is being increasingly used worldwide for diagnostic coronary angiography (CA), and percutaneous coronary interventions, since it offers several benefits as compared to transfemoral (TF) access, such as by reducing hemostasis time and vascular complications, increased patient comfort, reduced hospital stay, and lower cost. In contrast, TR CA is thought to be associated with increased radiation exposure parameters compared with the traditional TF access. Although experienced operators may almost counterbalance this shortcoming, the increase in radiation exposure associated with TR approach seems not to be present in most clinical settings.
近年来，涉及使用电离辐射的心脏诊断程序的数量迅速增加，并且接受任何医学成像程序的患者所遭受的辐射暴露最近受到了越来越多的关注。经桡动脉（TR）通路在全球范围内越来越多地用于诊断性冠状动脉造影（CA）和经皮冠状动脉介入治疗，因为与经股动脉（TF）通路相比，它具有多种优势，例如减少止血时间和血管并发症、提高患者舒适度、缩短住院时间以及降低成本。相比之下，与传统的TF通路相比，TR CA被认为与辐射暴露参数增加有关。尽管经验丰富的操作人员可能几乎可以抵消这一缺点，但在大多数临床环境中，与TR方法相关的辐射暴露增加似乎并不存在。
