硝酸甘油注射对远端桡动脉入路桡动脉结局的影响
Impact of Nitroglycerine Injection on Radial Artery Outcomes in Distal Transradial Access.
作者信息
Karaca Mehmet, Dağdeviren Bahadır
机构信息
Department of Cardiology, Private Ataşehir Memorial Hospital, İstanbul, Türkiye.
出版信息
Anatol J Cardiol. 2025 Jan 31;29(3):139-44. doi: 10.14744/AnatolJCardiol.2025.4877.
BACKGROUND
Preventive measures for radial artery complications in distal transradial approach are not fully studied. Our aim was to investigate the role of nitroglycerine injection in patients undergoing coronary angiography via distal transradial access.
METHODS
In this study, 168 patients who underwent angiographic procedures performed via distal transradial route with or without nitroglycerine injection were evaluated. Demographic, angiographic, and laboratory characteristics were recorded. Radial artery outcomes, including radial artery spasm, radial artery occlusion, and hematoma were compared between these groups and P values < .05 indicated significant differences.
RESULTS
Radial artery outcome occurred in 22% of the study population (n = 37), with radial artery spasm being the most encountered complication (n = 28, 16.7%). The groups were not different in terms of radial artery complications. Procedural features were also comparable except for the total contrast volume used.
CONCLUSION
Coronary angiographic procedures could be performed safely using distal transradial access without nitroglycerine injection.
背景
经桡动脉远端途径发生桡动脉并发症的预防措施尚未得到充分研究。我们的目的是探讨硝酸甘油注射在经桡动脉远端途径行冠状动脉造影患者中的作用。
方法
在本研究中，对168例经桡动脉远端途径行血管造影术的患者进行了评估，这些患者接受了或未接受硝酸甘油注射。记录人口统计学、血管造影和实验室特征。比较两组之间的桡动脉结局，包括桡动脉痉挛、桡动脉闭塞和血肿，P值<0.05表示有显著差异。
结果
22%的研究人群（n = 37）出现桡动脉结局，其中桡动脉痉挛是最常见的并发症（n = 28，16.7%）。两组在桡动脉并发症方面无差异。除使用的造影剂总量外，手术特征也具有可比性。
结论
经桡动脉远端途径行冠状动脉造影术时，不注射硝酸甘油也可安全进行。
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