Department of Cardiology, Wujin Hospital Affiliated with Jiangsu University, The Wujin Clinical College of Xuzhou Medical University, 2nd Yongning North Road, Changzhou, Jiangsu, China.
J Interv Cardiol. 2022 Aug 24;2022:1901139. doi: 10.1155/2022/1901139. eCollection 2022.
The study aimed to investigate the efficacy and safety of coronary intervention via distal transradial access (dTRA) in patients with low body mass index (BMI). A total of 67 patients with low BMI who underwent coronary intervention, comprising 29 patients via dTRA and 38 patients via conventional transradial access (cTRA), were retrospectively included. There was no significant difference in the puncture success rate between the two groups (dTRA 96.6%, cTRA 97.4%, =0.846). Compared with the cTRA group, the success rate of one-needle puncture in the dTRA group was lower (51.7% vs. 81.6%, =0.020). The compression haemostasis time in the dTRA group was shorter than that in the cTRA group ( < 0.001). However, the incidence of radial artery occlusion was lower in the dTRA group than in the cTRA group (4.0% . 33.3%, =0.007). In conclusion, coronary intervention via dTRA was safe and effective in patients with low BMI.
本研究旨在探讨经远端桡动脉入路（dTRA）行冠状动脉介入治疗在低体重指数（BMI）患者中的疗效和安全性。共纳入 67 例低 BMI 行冠状动脉介入治疗的患者，其中 29 例行 dTRA，38 例行传统经桡动脉入路（cTRA）。两组穿刺成功率无显著差异（dTRA 96.6%，cTRA 97.4%，=0.846）。与 cTRA 组相比，dTRA 组一针穿刺成功率较低（51.7%比 81.6%，=0.020）。dTRA 组压迫止血时间短于 cTRA 组（ < 0.001）。但 dTRA 组桡动脉闭塞发生率低于 cTRA 组（4.0%比 33.3%，=0.007）。总之，dTRA 行冠状动脉介入治疗在低 BMI 患者中安全有效。
