距离跨辐射接入与冠状动脉血管学常规跨辐射接入之间的比较
Manish Gupta1, Vinit Kumar1, Md Waziur Rahman1
1Department of Cardiology, Laxmipat Singhania (LPS) Institute of Cardiology, Kanpur, IND.
Cureus
|October 16, 2023
概括
与传统方法相比,用于冠状动脉扫描的远端辐射动脉穿刺显著降低了辐射动脉封闭 (RAO) 的风险. 这种技术提供了一个安全的替代接入点,最大限度地减少手术后的疼痛和手的拙.
科学领域:
- 心血管干预 心血管干预
- 干预心脏病学 干预心脏病学
- 血管接入技术 血管接入技术
背景情况:
- 传统的辐射动脉导管治疗带有辐射动脉封闭 (RAO) 的风险.
- 远端辐射动脉穿刺,在解剖吸烟箱中进行,被提出作为减少RAO发生率的替代方案.
研究的目的:
- 评估远距离透射接入与冠状动脉血管学常规透射接入的可行性和安全性.
- 为了比较两个访问站点之间的程序成功率,并发症和患者结果.
主要方法:
- 一项前性,随机的,单盲研究,涉及420名疑似冠状动脉疾病的成年患者.
- 患者被随机分配到远距离透射接入 (A组) 或常规透射接入 (B组).
- 评估了关键的程序参数和并发症,包括RAO,血液瘤,疼痛和手的拙.
主要成果:
- 程序成功率是可以比较的 (96%对98%,p=0.38).
- 远程接入显示,放射性动脉封闭率显著降低 (2%比13%,p<0.001),并减少了手术后的疼痛和手的拙.
- 在远端组,单次刺穿成功率较低 (78%对92%,p<0.001),在操作时间,光镜时间或对比度体积上没有显著差异.
结论:
- 远距离透射接入是冠状动脉血管学的一个可行,安全和有效的替代方案.
- 这种技术显著降低了放射性动脉封闭和相关患者不适的发生率.
- 远端辐射动脉穿刺在心脏手术中为血管接入提供了一个有价值的选择.
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