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经桡动脉远端入路行冠状动脉造影或经皮冠状动脉介入治疗急性冠状动脉综合征和复杂冠状动脉疾病的进展。

Advancement in Coronary Angiography or Percutaneous Coronary Intervention Using the Distal Transradial Artery Access in Acute Coronary Syndrome and Complex Coronary Artery Disease.

机构信息

Department of Cardiology, Ganzhou Municipal Hospital, Ganzhou, China.

Department of Cardiology, Ganzhou People's Hospital, Ganzhou, China.

出版信息

Anatol J Cardiol. 2022 Mar;26(3):163-171. doi: 10.5152/AnatolJCardiol.2021.933.

Abstract

As the incidence of coronary heart disease increases annually, coronary angiography and percutaneous coronary intervention procedures are also increasing. The femoral artery and radial artery paths are commonly used for percutaneous coronary intervention, but their clinical application is limited to a certain extent due to many postoperative complications. The distal transradial access path is a new surgical path for coronary angiography and percutaneous coronary intervention. In this study, we reviewed the most relevant and recent articles related to distal transradial access and found that coronary angiography or interventional therapy using the distal transradial access path is safe and effective in patients with acute coronary syndrome and complex coronary artery disease. The distal transradial access path is expected to be the first choice for coronary angiography or percutaneous coronary intervention in patients with acute coronary syndrome and complex coronary artery disease.

摘要

随着冠心病发病率逐年增高,冠状动脉造影及经皮冠状动脉介入治疗的手术量也在不断增加。经皮冠状动脉介入治疗常选用股动脉及桡动脉路径,但由于术后并发症较多,在一定程度上限制了其临床应用。远端桡动脉入路是冠状动脉造影及经皮冠状动脉介入治疗的一种新的手术路径。本研究复习了与远端桡动脉入路相关的最相关及最新的文献,发现对于急性冠状动脉综合征及复杂冠状动脉病变的患者,经远端桡动脉入路行冠状动脉造影或介入治疗是安全有效的。远端桡动脉入路有望成为急性冠状动脉综合征及复杂冠状动脉病变患者行冠状动脉造影或经皮冠状动脉介入治疗的首选路径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eef/9366409/494d0ede92fc/ajc-26-3-163_f001.jpg

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