Li Y W, Cao J W, Zhang X W, Zhao H, Gong T, Li J G, Li X
Department of Interventional Therapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Zhonghua Zhong Liu Za Zhi. 2021 Jan 23;43(1):143-146. doi: 10.3760/cma.j.cn112152-20191018-00673.
To discuss the safety and feasibility of transradial access (TRA) in performing peripheral arterial intervention. The clinical data of the patients underwent peripheral vascular intervention via TRA in our hospital from September 2017 to March 2019 were reviewed. The success rate of radial artery puncture and subsequent operation after puncture, and related postoperative complications within 30 days were analyzed. The clinical data of 112 peripheral arterial intervention procedures via TRA performed on 106 patients were reviewed, including transcatheter arterial chemoembolization in 83 cases, bronchial arterial infusion in 4 cases, pelvic tumor embolization in 11 cases and 14 other cases. The success rate of all interventional punctures was 97.3% (109/112), the operative success rate of interventional procedures was 98.2% (107/109). The TRA operation was failed in 5 patients, who were then converted to receive the femoral artery puncture and complete successfully. The severe complication of the operation was aortic dissection (2 cases). Minor complications included 2 cases of radial artery occlusion, radial artery spasm, arm pain and puncture point hematoma for each case. The severe complication and the minor complication rates were 1.8% (2/112) and 4.5% (5/112), respectively. Sixteen emergency operations were performed successfully, and no complication occurred. The TRA is a clinically safe and feasible approach for peripheral arterial interventional procedure.
探讨经桡动脉途径（TRA）进行外周动脉介入治疗的安全性和可行性。回顾了2017年9月至2019年3月在我院经TRA行外周血管介入治疗患者的临床资料。分析桡动脉穿刺成功率、穿刺后后续手术成功率及术后30天内相关并发症情况。回顾了对106例患者进行的112例经TRA外周动脉介入治疗的临床资料，其中包括经导管动脉化疗栓塞术83例、支气管动脉灌注术4例、盆腔肿瘤栓塞术11例及其他14例。所有介入穿刺成功率为97.3%（109/112），介入手术成功率为98.2%（107/109）。5例患者TRA手术失败，随后转为股动脉穿刺并成功完成手术。手术严重并发症为主动脉夹层（2例）。轻微并发症包括桡动脉闭塞2例、桡动脉痉挛、手臂疼痛及穿刺点血肿各1例。严重并发症和轻微并发症发生率分别为1.8%（2/112）和4.5%（5/112）。成功实施16例急诊手术，无并发症发生。TRA是外周动脉介入治疗临床上安全可行的方法。
