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经桡动脉入路及其在神经介入手术中的变体:文献综述

Transradial approach and its variations for neurointerventional procedures: Literature review.

作者信息

Zalocar Luis Alberto Domitrovic, Doroszuk Gustavo, Goland Javier

机构信息

Department of Interventional Radiology, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz, Spain.

Neurointervention Section, Hospital El Cruce Néstor Kirchner, Florencio Varela.

出版信息

Surg Neurol Int. 2020 Aug 15;11:248. doi: 10.25259/SNI_366_2020. eCollection 2020.

Abstract

BACKGROUND

The transfemoral approach (TFA) has been the standard in neuroradiology over the years. However, the transradial approach (TRA) and its variants offer several benefits over the TFA.

METHODS

Review of the literature about TRA and its variations. We present our results for different neurointerventional procedures at our institution between January 2018 and December 2019.

RESULTS

We wrote an educational review describing anatomical and technical aspects, advantages, and complications of this approach. In the past year we increased the percentage of neurointerventional procedures performed through radial or ulnar arteries.

CONCLUSION

There are clearly proven benefits of employing a wrist approach in patients for neurointerventional procedures and its utilization should especially be considered on a daily basis.

摘要

背景

多年来,经股动脉入路(TFA)一直是神经放射学的标准方法。然而,经桡动脉入路(TRA)及其变体相比TFA具有若干优势。

方法

回顾关于TRA及其变体的文献。我们展示了2018年1月至2019年12月期间在本机构进行的不同神经介入手术的结果。

结果

我们撰写了一篇教育综述,描述了这种入路的解剖学和技术方面、优势及并发症。在过去一年里,我们增加了通过桡动脉或尺动脉进行的神经介入手术的比例。

结论

在患者中采用腕部入路进行神经介入手术有明确证实的益处,尤其应在日常工作中加以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f8/7468190/3d5ecd0df983/SNI-11-248-g001.jpg

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