Zhang Mei, Shi Yi Hang, Qiao Ji Min, Zhou Ying Qian, Wang Huan, Fang Wen Xin
Department of Emergency, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Mei Zhang and Yi Hang Shi were co-first authors who contributed equally to this work.
Cardiol Res. 2025 Jun 16;16(4):338-345. doi: 10.14740/cr2076. eCollection 2025 Aug.
This study aimed to explore the effect of radial artery flow hyperperfusion on the successful collection of radial artery blood gas specimens in patients with acute heart failure.
From February 2023 to December 2024, 548 patients with acute heart failure in the database of the emergency rescue room of our hospital were divided into two groups: non-hyperperfusion group and hyperperfusion group. In the hyperperfusion group, arterial blood gas was collected using the radial artery hyperinfusion method (improving radial artery perfusion by blocking arteries other than the radial artery in the forearm using a customized sphygmomanometer with a double-airbag hollow cuff). The primary endpoint was the success rate of one-time puncture and the success rate of total puncture. Secondary endpoints included puncture frequency of > 3 times, puncture time, pain, puncture site hematoma, puncture site bruise, and patients' satisfaction.
In total, 548 patients were included, including 325 in the non-hyperperfusion group and 223 in the hyperperfusion group. The hyperperfusion group exhibited a significantly higher success rate of one-time puncture (63.4% vs. 83.4%, P< 0.001) and success rate of total puncture (82.5% vs. 94.6%, P < 0.001) compared to the non-hyperperfusion group. Additionally, the hyperperfusion group experienced a significantly reduced number of patients with puncture frequency > 3 times (26.2% vs. 9.9%, P < 0.001) and puncture time (48.59 ± 7.83 s vs. 26.43 ± 6.44 s, P < 0.001). This approach also effectively decreased the risk of puncture site hematoma (2.2% vs. 0.0%, P = 0.045), arm puncture place bruise (5.5% vs. 0.4%, P<0.001), and pain (3.0 (3.0, 4.0) vs. 2.0 (1.0, 2.0), P <0.001) and improved patients' satisfaction after adopting the radial artery hyperinfusion method.
Radial artery hyperperfusion improved the success rate of puncture for radial artery blood specimen collection in patients with acute heart failure, reduced puncture complications, and improved patients' satisfaction.
本研究旨在探讨桡动脉血流过度灌注对急性心力衰竭患者桡动脉血气标本采集成功率的影响。
2023年2月至2024年12月，将我院急诊抢救室数据库中的548例急性心力衰竭患者分为两组：非过度灌注组和过度灌注组。在过度灌注组中，采用桡动脉过度灌注法采集动脉血气（使用定制的带有双气囊空心袖带的血压计阻断前臂除桡动脉外的其他动脉，以改善桡动脉灌注）。主要终点是一次穿刺成功率和总穿刺成功率。次要终点包括穿刺次数>3次、穿刺时间、疼痛、穿刺部位血肿、穿刺部位瘀斑以及患者满意度。
共纳入548例患者，其中非过度灌注组325例，过度灌注组223例。与非过度灌注组相比，过度灌注组的一次穿刺成功率（63.4%对83.4%，P<0.001）和总穿刺成功率（82.5%对94.6%，P<0.001）显著更高。此外，过度灌注组穿刺次数>3次的患者数量（26.2%对9.9%，P<0.001）和穿刺时间（48.59±7.83秒对26.43±6.44秒，P<0.001）显著减少。采用桡动脉过度灌注法后，该方法还有效降低了穿刺部位血肿（2.2%对0.0%，P=0.045）、手臂穿刺部位瘀斑（5.5%对0.4%，P<0.001）和疼痛（3.0（3.0，4.0）对2.0（1.0，2.0），P<0.001）的风险，并提高了患者满意度。
桡动脉过度灌注提高了急性心力衰竭患者桡动脉血标本采集的穿刺成功率，减少了穿刺并发症，提高了患者满意度。
