Banner University Medical Center, Phoenix, AZ, USA.
HonorHealth and the Scottsdale-Lincoln Health Network, Scottsdale, AZ, USA.
Indian Heart J. 2021 Mar-Apr;73(2):149-155. doi: 10.1016/j.ihj.2020.09.012. Epub 2020 Sep 18.
Transradial intervention (TRI) was first introduced by Lucien Campeau in 1989 and since then has created a lasting impact in the field of interventional cardiology. Several studies have demonstrated that TRI is associated with fewer vascular site complications, offer earlier ambulation and greater post-procedural comfort. Patients presenting with ST Segment Elevation Myocardial Infarction (STEMI) have experienced survival benefit and higher quality-of-life metrics as well with TRI. While both the updated scientific statement by the American Heart Association and the 2017 European Society of Cardiology guidelines recommend a "radial first" approach there appears to be a lag in physicians adapting TRI as the preferred vascular access. We present a review focusing on identification and management of TRA related challenges and complications using a systematic algorithmic approach.
经皮桡动脉介入治疗（TRI）由 Lucien Campeau 于 1989 年首次提出，自此在介入心脏病学领域产生了持久的影响。多项研究表明，TRI 与较少的血管部位并发症相关，提供更早的活动能力和更大的术后舒适度。接受经皮冠状动脉介入治疗（PCI）的 ST 段抬高型心肌梗死（STEMI）患者也从中获益，包括生存获益和更高的生活质量指标。虽然美国心脏协会的最新科学声明和 2017 年欧洲心脏病学会指南都建议采用“桡动脉优先”的方法，但医生似乎在适应 TRI 作为首选血管入路方面存在滞后。我们提出了一种使用系统算法的方法，重点介绍了使用桡动脉相关挑战和并发症的识别和管理。
