SCAI关于皮肤关动脉接入和培训最佳实践的立场声明
Arnold H Seto1, Jerry D Estep2, Rajiv Tayal3
1Long Beach VA Health Care System, Long Beach, California.
概括
穿皮关动脉接入为诸如跨导管大动脉置换 (TAVR) 等手术提供了不那么侵入性的替代方案. 这种方法可以避免手术切口,降低感染风险,促进患者的康复.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 关动脉接入是一种新兴的替代品,用于大血管干预的股骨接入.
- 穿皮下接提供了诸如避免手术切口和降低感染风险等好处.
研究的目的:
- 审查与穿皮关动脉接入相关的解剖学考虑和风险.
- 概述准入技术,静血,关闭和并发症管理的最佳实践.
- 为此程序推培训和特权指南.
主要方法:
- 对关动脉接入的解剖学考虑的审查.
- 讨论通过皮肤接入的技术和关闭策略.
- 分析潜在的并发症及其管理.
主要成果:
- 穿皮上接入是可行的通过导管的大动脉替换 (TAVR),内血管大动脉修复 (EVAR) 和机械循环支持 (MCS).
- 确定了关键的解剖学标志和潜在的风险.
- 提出了技术,血液静止和并发症管理的最佳实践.
结论:
- 穿皮关动脉接入是复杂的血管程序的一个有价值的技术.
- 标准化的培训和明确的优先权对于安全实施至关重要.
- 这种方法在精选的患者群体中比传统的股骨接入有显著的优势.
相关概念视频
01:25Assessment of apical radial pulse
736
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
736
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
537
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
537
01:12Arteries of the Upper Limbs
480
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
480
01:17Assessment of apical pulse
881
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
881
01:11Assessment of radial pulse
810
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:
810
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
115
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
115