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经桡动脉远端入路:心血管造影和介入治疗的可行性和安全性评价。

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention.

机构信息

Department of Cardiology, Wujin Hospital Affiliated with Jiangsu University, the Wujin Clinical College of Xuzhou Medical University, Changzhou City, Jiangsu Province, China.

Science and Education Section, Wujin Hospital Affiliated with Jiangsu University, the Wujin Clinical College of Xuzhou Medical University, Changzhou City, Jiangsu Province, China.

出版信息

BMC Cardiovasc Disord. 2020 Aug 5;20(1):356. doi: 10.1186/s12872-020-01625-8.

DOI:10.1186/s12872-020-01625-8
PMID:32758150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7409500/
Abstract

BACKGROUND

Transradial access (TRA) has been considered as the default choice in cardiac catheterization. Although infrequent, vascular complications of this approach remain. Recently, the distal transradial approach (dTRA) in cardiac catheterization was reported by interventionalists.

METHODS

We retrieved the relevant literatures and reviewed the safety and feasibility of this novel approach in cardiac catheterization.

RESULTS

The dTRA for cardiac intervention has superior safety and satisfaction. As a novel approach for cardiac catheterization, access related complications should also be considered by operators, such as RAO, radial spasm, bleeding and haematoma, and injury of the superficial branch of the radial nerve.

CONCLUSIONS

The dTRA in cardiovascular angiography and intervention was safe and feasible.

摘要

背景

经桡动脉入路(TRA)已被认为是心导管检查的首选方法。尽管这种方法很少见,但仍存在血管并发症。最近,介入医生报告了经心导管检查的远端经桡动脉入路(dTRA)。

方法

我们检索了相关文献,并回顾了这种新方法在心导管检查中的安全性和可行性。

结果

dTRA 用于心脏介入具有更高的安全性和满意度。作为一种新的心脏导管检查方法,操作者还应考虑与入路相关的并发症,如 RAO、桡动脉痉挛、出血和血肿以及桡神经浅支损伤。

结论

心血管造影和介入治疗中的 dTRA 是安全可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cd5/7409500/ecb8ead5e7c7/12872_2020_1625_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cd5/7409500/a9247304e670/12872_2020_1625_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cd5/7409500/ecb8ead5e7c7/12872_2020_1625_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cd5/7409500/a9247304e670/12872_2020_1625_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cd5/7409500/ecb8ead5e7c7/12872_2020_1625_Fig2_HTML.jpg

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