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桡动脉入路解剖:神经介入手术的考虑因素。

Radial artery access anatomy: considerations for neuroendovascular procedures.

机构信息

Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California, USA

Department of Radiology, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA.

出版信息

J Neurointerv Surg. 2021 Dec;13(12):1139-1144. doi: 10.1136/neurintsurg-2021-017871. Epub 2021 Sep 22.

Abstract

Although enthusiasm for transradial access for neurointerventional procedures has grown, a unique set of considerations bear emphasis to preserve safety and minimize complications. In the first part of this review series, we will review important anatomical considerations for safe and easy neuroendovascular procedures from a transradial approach. These include normal and variant radial artery anatomy, the anatomic snuffbox, as well as axillary, brachial, and great vessel arterial anatomy that is imperative for the neuroendovascular surgeon to be intimately familiar prior to pursuing transradial access procedures. In the next part of the review series, we will focus on safety and complications specific to a transradial approach.

摘要

尽管经桡动脉入路进行神经介入手术的热情日益高涨,但仍需特别强调一些独特的考虑因素,以确保安全并最大限度地减少并发症。在本综述系列的第一部分中,我们将回顾经桡动脉入路进行安全、简便的神经血管内手术的重要解剖学考虑因素。这些因素包括正常和变异的桡动脉解剖结构、解剖鼻烟窝以及腋动脉、肱动脉和大血管动脉解剖结构,神经介入医师在尝试经桡动脉入路之前必须熟悉这些解剖结构。在本综述系列的下一部分,我们将重点关注经桡动脉入路的安全性和特定并发症。

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