Department of Internal Medicine, St Mary Medical Center, 1201 Langhorne-Newtown Rd, Langhorne, PA, 19047, USA.
Department of Cardiology, University of Virginia, Charlottesville, VA, USA.
Ir J Med Sci. 2020 Nov;189(4):1253-1258. doi: 10.1007/s11845-020-02203-9. Epub 2020 Mar 17.
Elective and emergent coronary interventions via transradial access (TRA) are been used increasingly as they carry a reduced risk of complications. Percutaneous coronary intervention via TRA may lead to radial artery spasms (RAS) that may result in prolonged procedure time, cross-over of access site, and other complications. This review article discusses the recent definitions, incidences, pathophysiology, predictive score calculator, efficacy, the safety of the radial cocktails, and treatment of the RAS.
经桡动脉入路（TRA）的选择性和紧急冠状动脉介入治疗因其并发症风险降低而越来越多地被应用。TRA 下的经皮冠状动脉介入治疗可能导致桡动脉痉挛（RAS），从而导致手术时间延长、入路部位交叉和其他并发症。本文综述了 RAS 的最新定义、发生率、病理生理学、预测评分计算器、桡动脉鸡尾酒的疗效和安全性以及治疗方法。
