[1]魏显敬,辛丽娜,解泽宙,等.左桡动脉远端入路冠状动脉介入诊疗术的安全性和可靠性[J].介入放射学杂志,2022,31(11):1069-1072.
 WEI Xianjing,XIN Lina,XIE Zezhou,et al.Percutaneous coronary intervention via left radial artery distal end access: evaluation of its safety and reliability[J].journal interventional radiology,2022,31(11):1069-1072.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年11
页码:
1069-1072
栏目:
临床研究
出版日期:
2022-12-13

文章信息/Info

Title:
Percutaneous coronary intervention via left radial artery distal end access: evaluation of its safety and reliability
作者:
魏显敬 辛丽娜 解泽宙 贾圣英 徐思维 谢莲娜
Author(s):
WEI Xianjing XIN Lina XIE Zezhou JIA Shengying XU Siwei XIE Lianna.
Division IV, Department of Circulation, Affiliated Zhongshan Hospital of Dalian University, Dalian, Liaoning Province 116001, China
关键词:
【关键词】 冠状动脉造影 桡动脉闭塞 桡动脉远端入路 经皮冠状动脉介入治疗
文献标志码:
A
摘要:
【摘要】 目的 评估经左桡动脉远端穿刺行冠状动脉介入诊疗术的安全性和可靠性。方法 选取2019年1月至2020年1月于大连大学附属中山医院接受冠状动脉造影和经皮冠状动脉介入治疗(PCI)的550例患者为研究对象,其中260例行右桡动脉穿刺,290例行左桡动脉远端穿刺,穿刺成功者分别入组A组、B组。观察两组介入穿刺置管时X线曝光时间、造影使用导管数、完成靶血管重建数、PCI复杂程度以及术后前臂出血、桡动脉并发症等。结果 248例(95.4%)患者顺利完成右桡动脉穿刺冠脉诊疗术(A组),277例(95.5%)顺利完成经左桡动脉远端冠脉诊疗术(B组),差异无统计学意义(P>0.05)。两组X线曝光时间、造影使用导管数、完成靶血管重建数、PCI复杂程度差异无统计学意义(均P>0.05)。但B组围术期前臂出血、桡动脉闭塞发生率远小于A组(P<0.01,P=0.036)。结论 经左桡动脉远端途径行冠状动脉诊疗术安全可靠,提高了术者和患者舒适性。

参考文献/References:

[1] Jolly SS, Yusuf S, Cairns J, et al. Radial versusfemoral access for coronary angiography and intervention in patients with acute coronary syndromes(RIVAL):a randomised,parallel group,multi-centre trial[J]. Lancet, 2011,377: 1409-1420.
[2] Valgimigli M, Gagnor A, Calabro P, et al. Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial[J]. Lancet, 2015, 385: 2465-2476.
[3] Rao SV,Bernat I,Bertrand OF. Clinical update: remaining challenges and opportunities for improvement in percutaneous transradial coronary procedures[J]. Eur Heart J, 2012, 33: 2521-2526.
[4] 杨胜利. “经桡动脉介入诊疗后桡动脉闭塞最佳预防国际共识”解读[J]. 中国循证心血管医学杂志, 2020, 12:1-4.
[5] Hamandi M, Saad M, Hasan R, et al. Distal versus conventional transradial artery access for coronary angiography and intervention: a meta-analysis[J]. Cardiovasc Revasc Med, 2020, 21: 1209-1213.
[6] 张美娟. 冠心病介入诊疗术后出现血管并发症的原因以及护理效果分析——评《经桡动脉冠心病介入诊疗手册》[J]. 介入放射学杂志, 2020, 29:1307.
[7] Chim H, Bakri K, Moran SL. Complications related to radial artery occlusion, radial artery harvest, and arterial lines[J]. Hand Clin, 2015, 31: 93-100.
[8] Kiemeneij F.Left distal transradial access in the anatomical snuffbox for coronary angiography(ldTRA) and interventions(ldTRI)[J]. EuroIntervention, 2017, 13:851- 857.
[9] Al-Azizi KM, Grewal V, Gobeil K, et al. The left distal transradial artery access for coronary angiography and intervention: a US experience[J]. Cardiovasc Revasc Med, 2019, 20: 786-789.
[10] Feng H,Fang Z,Zhou S,et al. Left distal transradial approach for coronary intervention: insights from early clinical experience and future directions[J]. Cardiol Res Pract, 2019, 2019:8671306.
[11] Yamada T,Washimi S,Hashimoto S,et al. Feasibility and safety of the successive use of distal transradial access for coronary angio-graphy and intervention in the same arm[J]. Catheter Cardiovasc Interv, 2021, 98: E796-E801.
[12] Lu H,Wu D,Chen X.Comparison of distal transradial access in anatomic snuffbox versus transradial access for coronary angiography[J]. Heart Surg Forum, 2020, 23: E407- E410.
[13] Vefali V, Saricam E. The comparison of traditional radial access and novel distal radial access for cardiac catheterization[J]. Cardiovasc Revasc Med, 2020, 21: 496-500.
[14] Wretowski D, Krakowian M, Labyk A, et al. Very distal transradial approach(VITRO) for coronary interventions[J]. Postepy Kardiol Interwencyjnej, 2019, 15: 42-45.
[15] Xie L,Wei X,Xie Z,et al. Feasibility of distal radial access for coronary angiography and percutaneous coronary intervention: a single center experience[J]. Cardiology, 2021, 146: 531-537.
[16] 赵明明,薛月芹,王 艳,等. 经远端桡动脉行冠状动脉介入诊疗可行性和安全性的Meta分析[J]. 中国循环杂志, 2021, 36:1173-1179.
[17] Oliveira MDP, Lyra FG, Neto VTC, et al. Bilateral distal transradial access for ostial left anterior descending chronic total occlusion recanalization[J]. J Invasive Cardiol, 2021, 33: E138.
[18] Lin CJ, Lee WC, Lee CH, et al. Feasibility and safety of chronic total occlusion percutaneous coronary intervention via distal transradial access[J]. Front Cardiovasc Med, 2021, 8:673858.
[19] Oliveira MDP, Navarro EC, de Sa GA, et al. Chronic total occlusion recanalization concurrent to culprit primary percutaneous coronary intervention via distal transradial access: maximizing revasculari-zation through minimalist approach[J]. Heart Views, 2021, 22: 150-153.

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备注/Memo

备注/Memo:
 (收稿日期:2021-11-19)
(本文编辑:边 佶)
更新日期/Last Update: 2022-12-09