Avdikos Grigorios, Karatasakis Aris, Tsoumeleas Andreas, Lazaris Efstathios, Ziakas Antonios, Koutouzis Michael
Second Department of Cardiology, Hellenic Red Cross Hospital of Athens, Athens, Greece.
University of Texas, Southwestern Medical Center, Dallas, Texas, USA.
Cardiovasc Diagn Ther. 2017 Jun;7(3):305-316. doi: 10.21037/cdt.2017.03.14.
The transradial approach (TRA) for coronary angiography and interventions is increasingly utilized around the world. Radial artery occlusion (RAO) is the most common significant complication after transradial catheterization, with incidence varying between 1% and 10%. Although RAO is rarely accompanied by hand ischemia, it is an important complication because it prohibits future transradial access and radial artery utilization as a conduit for coronary artery bypass grafting or arteriovenous fistula formation. In this review, we discuss factors predicting the occurrence of RAO, aspects of accurate and prompt recognition, methods that contribute to its prevention and possible treatment options.
冠状动脉造影和介入治疗的经桡动脉途径（TRA）在全球范围内的应用越来越广泛。桡动脉闭塞（RAO）是经桡动脉导管插入术后最常见的严重并发症，发生率在1%至10%之间。虽然RAO很少伴有手部缺血，但它是一种重要的并发症，因为它会妨碍未来经桡动脉入路以及将桡动脉用作冠状动脉旁路移植术或动静脉内瘘形成的管道。在本综述中，我们讨论了预测RAO发生的因素、准确及时识别的方面、有助于预防RAO的方法以及可能的治疗选择。
