桡动脉远端入路：心血管介入治疗的未来
Distal Radial Artery Access: The Future of Cardiovascular Intervention.
作者信息
Nairoukh Zaid, Jahangir Saira, Adjepong Dennis, Malik Bilal Haider
机构信息
Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Neuroscience, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
出版信息
Cureus. 2020 Mar 7;12(3):e7201. doi: 10.7759/cureus.7201.
Abstract
Access sites for coronary intervention have been changing over the last several decades, from the femoral artery to the radial artery and then to the distal radial artery. Distal radial access, which was first used in 2017 and is still not recommended by the guidelines, shows a higher success rate and less complications than other sites; therefore, it might be the future for cardiovascular intervention. In this study, we reviewed almost all of the articles that are related to the distal radial access, from 2017 to present, and summarized the technique, success rate, advantages, disadvantages, and noncardiac use of this access site.
摘要
在过去几十年中，冠状动脉介入治疗的穿刺部位一直在变化，从股动脉到桡动脉，再到桡动脉远端。桡动脉远端穿刺于2017年首次使用，目前仍未被指南推荐，但其成功率高于其他部位，并发症也更少；因此，它可能是心血管介入治疗的未来方向。在本研究中，我们回顾了从2017年至今几乎所有与桡动脉远端穿刺相关的文章，并总结了该穿刺部位的技术、成功率、优点、缺点及非心脏应用情况。
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本文引用的文献
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Update on complications and their management during transradial cardiac catheterization.经桡动脉心脏导管插入术并发症及其处理的最新进展
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The Comparison of Traditional Radial Access and Novel Distal Radial Access for Cardiac Catheterization.传统桡动脉入路与新型桡动脉远心端入路用于心脏导管插入术的比较。
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Distal radial artery access among cases with radial artery occlusion for primary percutaneous intervention.对于接受直接经皮冠状动脉介入治疗且存在桡动脉闭塞的患者，采用桡动脉远端入路。
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Importance of measurement of the diameter of the distal radial artery in a distal radial approach from the anatomical snuffbox before coronary catheterization.在冠状动脉导管插入术前，经解剖鼻烟壶采用桡动脉远端入路时测量桡动脉远端直径的重要性。
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Distal transradial access in the anatomical snuffbox for diagnostic cerebral angiography.经解剖鼻烟窝行远端桡动脉入路行诊断性脑血管造影术。
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Catheter Cardiovasc Interv. 2019 Nov 1;94(5):651-657. doi: 10.1002/ccd.28155. Epub 2019 Feb 24.
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