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经桡动脉途径的价值:对患者满意度和医疗保健经济学的影响。

The Value of Transradial: Impact on Patient Satisfaction and Health Care Economics.

作者信息

Lindner Samuel M, McNeely Christian A, Amin Amit P

机构信息

Cardiovascular Division, Washington University School of Medicine, 660 S Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA; Barnes-Jewish Hospital, 660 S Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA.

Cardiovascular Division, Washington University School of Medicine, 660 S Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA; Barnes-Jewish Hospital, 660 S Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA; Center for Value and Innovation, Washington University School of Medicine, 660 S Euclid Avenue, Campus Box 8086, St Louis, MO 63110, USA.

出版信息

Interv Cardiol Clin. 2020 Jan;9(1):107-115. doi: 10.1016/j.iccl.2019.08.004.

Abstract

This review summarizes the impact of transradial access for cardiac catheterization and percutaneous coronary intervention related to patient satisfaction, patient safety, and health care costs. In studies comparing transradial versus transfemoral approach, transradial access causes less bleeding and less vascular access site complications and provides a mortality benefit in patients with acute coronary syndromes. Transradial access improves patient satisfaction related to site tolerability by reducing pain and discomfort, and facilitating early ambulation with reduced length of stay. Taken in total, the existing randomized and observational data strongly support radial access for improved safety, patient satisfaction, and significant cost savings.

摘要

本综述总结了经桡动脉途径用于心脏导管插入术和经皮冠状动脉介入治疗对患者满意度、患者安全及医疗保健成本的影响。在比较经桡动脉与经股动脉途径的研究中,经桡动脉途径导致的出血和血管穿刺部位并发症更少,并且在急性冠状动脉综合征患者中具有降低死亡率的益处。经桡动脉途径通过减轻疼痛和不适并促进早期活动及缩短住院时间,提高了与穿刺部位耐受性相关的患者满意度。总体而言,现有的随机和观察性数据有力地支持采用桡动脉途径以提高安全性、患者满意度并显著节省成本。

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