远程辐射接入可以替代冠状动脉导管治疗的传统辐射接入吗? 一项研究比较了穿孔时间,尝试,患者和操作员舒适度
Kanhai Lalani1, Tom Devasia1, Ganesh Paramasivam1
1Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Anatolian journal of cardiology
|July 24, 2024
概括
冠状动脉导管的远距离透射方法 (dTRA) 可能需要更多的穿孔尝试,但在第一次尝试成功时,它提供了与经典的透射方法 (cTRA) 相当的程序时间.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 血管接入 血管接入
背景情况:
- 跨射线接入是冠状动脉导管治疗的常见方法.
- 远距离透射接入 (dTRA) 和经典透射接入 (cTRA) 是使用的两种技术.
- 将这些技术进行比较对于优化患者的治疗结果和程序效率至关重要.
研究的目的:
- 为了比较dTRA和cTRA用于冠状动脉导管.
- 关键指标包括穿孔尝试,时间,操作员/患者舒适度和安全性.
主要方法:
- 对130名接受冠状动脉导管治疗的患者进行前性观察性研究.
- 根据最初的穿刺,患者被分为dTRA和cTRA组.
- 收集的数据包括穿孔细节,舒适度 (VAS) 和访问站点并发症.
主要成果:
- dTRA需要更多的单次刺穿尝试 (30.3%对比15.6%),并且整体刺穿时间更长 (60s对比50s).
- 如果第一次尝试成功 (47.5s vs. 45s),穿孔时间相似.
- 患者的舒适度是可比的;操作人员的舒适度偏好了cTRA (8.8比8.3). 在任何一组中,cTRA都有更多的轻微出血,但没有重大出血或显著的辐射动脉封闭.
结论:
- dTRA可能需要更多的尝试,但在第一次尝试成功时,在穿孔时间方面与cTRA相似.
- 一次成功的dTRA穿刺可以成为冠状动脉导管治疗的合理方法.
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