| Citation: |
MA Long, WANG Fang, HE Shenghu, ZHU Xiaotong. Application of transradial artery access in coronary angiography and interventional therapy[J]. Journal of Clinical Medicine in Practice, 2023, 27(3): 56-59. DOI: 10.7619/jcmp.20222916
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To explore the application value of transradial artery access incoronary angiography and interventional therapy.
A total of 600 patients who were selected for coronary angiography during hospitalization were selected and were randomly divided into experimental group (distaltransradial artery access, n=300) and control group (conventional transradial artery access, n=300). The main risk factors, puncture success rate, and incidence of intraoperative and postoperative complications (haemorrhage or hematoma, pseudoaneurysm, blisters, arterial occlusion) were compared between the two groups.
There were no statistically significant differences between the two groups in terms of sex, age, hypertension, diabetes, hyperlipidemia and body mass index (P>0.05). Compared with the control group, the experimental group had a lower success rate and longer puncture time (P < 0.05). The total complication rate of the experimental group was 2.3%, which was lower than 11.7% of the control group (P < 0.05).
The transradial artery access has the advantages of higher safety, less postoperative complications and higher patients' comfort, which provides a good method for preventing radial artery occlusion.
| [1] |
MASON P J, SHAH B, TAMIS-HOLLAND J E, et al. An update on radial artery access and best practices for transradial coronary angiography and intervention in acute coronary syndrome: a scientific statement from the American heart association[J]. CircCardiovascInterv, 2018, 11(9): e000035.
|
| [2] |
SHROFF A R, GULATI R, DRACHMAN D E, et al. SCAI expert consensus statement update on best practices for transradial angiography and intervention[J]. Catheter CardiovascInterv, 2020, 95(2): 245-252. doi: 10.1002/ccd.28672
|
| [3] |
RAO S V, DHARMA S. 25 years of transradial intervention: looking back and anticipating what is ahead[J]. JACC CardiovascInterv, 2017, 10(22): 2266-2268.
|
| [4] |
VALSECCHI O, VASSILEVA A, CEREDA A F, et al. Early clinical experience with right and left distal transradial access in the anatomical snuffbox in 52 consecutive patients[J]. J Invasive Cardiol, 2018, 30(6): 218-223.
|
| [5] |
NEUMANN F J, SOUSA-UVA M, AHLSSON A, et al. 2018 ESC/EACTS guidelines on myocardial revascularization[J]. Eur Heart J, 2019, 40(2): 87-165. doi: 10.1093/eurheartj/ehy394
|
| [6] |
CORCOS T. Distal radial access for coronary angiography and percutaneous coronary intervention: a state-of-the-art review[J]. Catheter CardiovascInterv, 2019, 93(4): 639-644. doi: 10.1002/ccd.28016
|
| [7] |
KIEMENEIJ F. Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI)[J]. EuroIntervention, 2017, 13(7): 851-857. doi: 10.4244/EIJ-D-17-00079
|
| [8] |
RASHID M, KWOK C S, PANCHOLY S, et al. Radial artery occlusion after transradial interventions: a systematic review and meta-analysis[J]. J Am Heart Assoc, 2016, 5(1): e002686. doi: 10.1161/JAHA.115.002686
|
| [9] |
BERNAT I, AMINIAM A, PANCHOLY S, et al. Best practice for the prevention of radial artery occlusion after transradial diagnostic angiography and intervention. An international consensus paper[J]. JACC CardiovascInterv, 2019, 12(22): 2235-2246.
|
| [10] |
DANGOISSE V, GUÉDōS A, CHENU P, et al. Usefulness of a gentle and short hemostasis using the transradial band device after transradial access for percutaneous coronary angiography and interventions to reduce the radial artery occlusion rate (from the prospective and randomized CRASOC Ⅰ Ⅱ, and Ⅲ studies) [J]. Am J Cardiol, 2017, 120(3): 373-379.
|
| [11] |
《经远端桡动脉行冠状动脉介入诊疗中国专家共识》专家组, 大拇指俱乐部. 经远端桡动脉行冠状动脉介入诊疗中国专家共识[J]. 中国介入心脏病学杂志, 2020, 28(12): 667-674. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXB202012002.htm
|
| [12] |
NAIROUKH Z, JAHANGIR S, ADJEPONG D, et al. Distal radial artery access: the future of cardiovascular intervention[J]. Cureus, 2020, 12(3): e7201.
|
| [13] |
KAWAMURA Y, YOSHIMACHI F, NAKAMURA N, et al. Impact of dedicated hemostasis device for distal radial arterial access with an adequate hemostasis protocol on radial arterial observation by ultrasound[J]. CardiovascIntervTher, 2021, 36(1): 104-110. http://doc.paperpass.com/foreign/rgArti2020398275.html
|
| [14] |
KIM Y, AHN Y, KIM I, et al. Feasibility of coronary angiography and percutaneous coronary intervention via left snuffbox approach[J]. Korean Circ J, 2018, 48(12): 1120-1130. doi: 10.4070/kcj.2018.0181
|
| [15] |
LEE J W, SON J W, GO T H, et al. Reference diameter and characteristics of the distal radial artery based on ultrasonographic assessment[J]. Korean J Intern Med, 2022, 37(1): 109-118. doi: 10.3904/kjim.2020.685
|
| [16] |
NAITO T, SAWAOKA T, SASAKI K, et al. Evaluation of the diameter of the distal radial artery at the anatomical snuff box using ultrasound in Japanese patients[J]. CardiovascIntervTher, 2019, 34(4): 312-316.
|
| [17] |
MORI S, HIRANO K, YAMAWAKI M, et al. A comparative analysis between ultrasound-guided and conventional distal transradial access for coronary angiography and intervention[J]. J IntervCardiol, 2020, 2020: 7342732.
|
| [18] |
王欢欢, 刘丹, 郭继东, 等. 经鼻烟壶区远端桡动脉入路在冠状动脉造影和经皮冠状动脉介入治疗中的效果和安全性分析[J]. 中国循环杂志, 2021, 36(12): 26-31. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH202112002.htm
|
| [19] |
EID-LIDT G, RIVERA RODRÍGUEZ A, JIMENEZ CASTELLANOS J, et al. Distal radial artery approach to prevent radial artery occlusion trial[J]. JACC CardiovascInterv, 2021, 14(4): 378-385.
|
| [20] |
HAMANDI M, SAAD M, HASAN R, et al. Distal versus conventional transradial artery access for coronary angiography and intervention: a meta-analysis[J]. CardiovascRevasc Med, 2020, 21(10): 1209-1213.
|
| [21] |
TSIGKAS G, PAPAGEORGIOU A, MOULIAS A, et al. Distal or traditional transradial access site for coronary procedures: a single-center, randomized study[J]. JACC CardiovascInterv, 2022, 15(1): 22-32.
|
| [22] |
SGUEGLIA G A, HASSAN A, HARB S, et al. International hand function study following distal radial access: the RATATOUILLE study[J]. JACC CardiovascInterv, 2022, 15(12): 1205-1215.
|
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