下肢外周动脉介入的桡动脉入路：我们有相应的工具吗？
Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?
作者信息
Posham Raghuram, Young Lindsay B, Lookstein Robert A, Pena Constantino, Patel Rahul S, Fischman Aaron M
机构信息
Icahn School of Medicine at Mount Sinai, New York, New York.
Miami Cardiac and Vascular Institute, Miami, Florida.
出版信息
Semin Intervent Radiol. 2018 Dec;35(5):427-434. doi: 10.1055/s-0038-1676341. Epub 2019 Feb 5.
Abstract
The benefits of transradial arterial access (TRA) versus transfemoral arterial access (TFA) have been extensively described in the literature; however, TFA remains the predominant access site choice in the management of peripheral arterial disease (PAD). There are still significant unmet needs for operators wishing to provide the same effective interventions for lower extremity PAD via TRA as with TFA. This article provides an up-to-date review of the literature and devices currently available for operators wishing to treat lower extremity PAD via TRA and the limitations they may face.
摘要
经桡动脉入路（TRA）与经股动脉入路（TFA）的优势在文献中已有广泛描述；然而，在周围动脉疾病（PAD）的治疗中，TFA仍然是主要的入路部位选择。对于希望通过TRA为下肢PAD提供与TFA相同有效干预措施的操作者来说，仍存在重大未满足的需求。本文对目前可供希望通过TRA治疗下肢PAD的操作者使用的文献和设备以及他们可能面临的局限性进行了最新综述。
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本文引用的文献
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Superficial Femoral Artery Recanalization via Transradial Access or a Combined Radial-Pedal Access Strategy.
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Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment With the Ankle-Brachial Index: US Preventive Services Task Force Recommendation Statement.采用踝臂指数筛查外周动脉疾病和心血管疾病风险评估：美国预防服务工作组推荐声明。
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Combined Transradial and Transpedal Approach for Femoral Artery Interventions.联合桡动脉和足背动脉入路在股动脉介入治疗中的应用。
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A systematic review and meta-analysis of revascularization outcomes of infrainguinal chronic limb-threatening ischemia.下肢慢性肢体威胁性缺血血运重建结局的系统评价和荟萃分析。
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Safety and Outcomes of Transradial Access in Patients with International Normalized Ratio 1.5 or above.国际标准化比值在 1.5 或以上的患者经桡动脉入路的安全性和结果。
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