通过远距离与传统的透射通道进行长期辐射动脉封闭的比较 (条件):一个随机对照试验
Tao Chen1, Lamei Li1, Feng Li1
1Department of Cardiology, Wujin Hospital Affiliated With Jiangsu University, The Wujin Clinical College of Xuzhou Medical University, Changzhou, 213017, Jiangsu Province, China.
BMC medicine
|February 8, 2024
概括
与传统的超辐射接入相比,远距离的超辐射接入 (dTRA) 显著减少了长期的辐射动脉封闭 (RAO). 这种心血管干预方法还可以降低出血和血瘤的发生率,改善患者的治疗结果.
科学领域:
- 心血管干预 心血管干预
- 血管接入技术 血管接入技术
- 辐射动脉手术 辐射动脉手术
背景情况:
- 远距离透射接入 (dTRA) 是心血管手术中常规透射接入 (TRA) 的新兴替代方案.
- 存在有限的随机对照试验,评估dTRA对放射性动脉封闭 (RAO) 的长期影响.
研究的目的:
- 为了比较远端跨射线接入 (dTRA) 和常规跨射线接入 (TRA) 之间的长期辐射动脉封闭 (RAO) 的发生率.
- 评估二次终点,包括刺穿成功率,时间和与访问相关的并发症.
主要方法:
- 前性,随机对照性研究.
- 主要终点:释放后3个月的长期RAO发生率.
- 二级终点:穿刺成功率,穿刺时间,出血和其他进入并发症.
主要成果:
- 长期RAO发生率与dTRA (0.8%) 与TRA (3.3%) (P=0.02) 相比显着较低.
- 与TRA相比,dTRA显示24小时RAO,出血和血液瘤的发生率较低.
- 穿刺成功率和单次穿刺尝试在dTRA组较低,穿刺时间增加.
结论:
- 远距离透射接入 (dTRA) 有效地减少长期的辐射动脉封闭 (RAO).
- 与TRA相比,dTRA还显示出出血和血液瘤发病率的显著降低.
- 该研究支持dTRA作为心血管干预中安全有效的替代接入方法.
更多相关视频
07:30Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
7.5K
07:25Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
Published on: September 22, 2020
3.4K
相关概念视频
01:11Assessment of radial pulse
827
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
827
01:25Assessment of apical radial pulse
746
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
746