远距离与近距离辐射动脉接触心脏导管:一年的结果
Karim Al-Azizi1, Ghadi Moubarak2, Chadi Dib1
1Department of Cardiology, Baylor Scott and White The Heart Hospital, Plano, Texas.
The American journal of cardiology
|March 3, 2024
概括
与近端辐射动脉 (PRA) 接入相比,用于心脏导管的远端辐射动脉 (DRA) 接入是安全的,并且不会增加手部功能障碍或辐射动脉封闭的风险.
科学领域:
- 心脏病学 心脏病学
- 血管接入 血管接入
- 干预心脏病学 干预心脏病学
背景情况:
- 靠近径向动脉 (PRA) 进入心脏导管可以危及动脉的未来使用,由于封闭.
- 距离辐射动脉 (DRA) 接入保留了辐射动脉,但其安全性和对手部功能的影响需要评估.
研究的目的:
- 评估和比较DRA和PRA之间的手部功能和并发症率,用于心脏导管.
主要方法:
- 一个单一中心的随机试验,涉及300名患者,分配1:1的DRA或PRA访问.
- 主要终点:一年后手功能的变化 (由快速DASH,握力和测试组成).
- 二级终点:访问可行性和并发症.
主要成果:
- 216名患者完成了1年的随访 (112名DRA,104名PRA).
- 两组之间手握,捏握或快速DASH分数没有显著差异.
- 在DRA和PRA之间,类似的低出血率和辐射动脉封闭率.
结论:
- 距离辐射动脉 (DRA) 接入是心脏导管治疗的安全替代方案.
- 与1年后的PRA相比,DRA访问不会导致手部功能障碍或放射性动脉封闭的风险增加.
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