冠状动脉诊断和再血管化程序的传统与远距离辐射接入:TENDERA多中心随机对照研究的最终结果
Avtandil M Babunashvili1, Samir Pancholy1, Aleksei B Zulkarnaev1
1Department of Cardiovascular Surgery, Center of Endosurgery, Moscow, Russian Federation.
概括
距离辐射接入 (DRA) 显著减少前臂辐射动脉封闭 (RAO) 与传统的跨辐射接入 (TRA) 相比,在12个月. DRA还提供更短的静血时间,改善心血管手术中的患者结果.
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:
- 传统的超辐射接入 (TRA) 是常见的干预措施,但可能导致辐射动脉封闭 (RAO),限制未来的使用.
- 远距离辐射接入 (DRA) 建议降低RAO速率,但现有的数据是相互矛盾的.
研究的目的:
- 为了比较1年的前臂辐射动脉封闭率 (RAO) 在远端辐射通道 (DRA) 和传统的跨辐射通道 (TRA) 之间.
主要方法:
- 该TENDERA研究是一项多中心,随机对照试验,用于冠状动脉手术中比较DRA和TRA.
- 850名患者被随机分配;主要终点是12个月前臂RAO,通过多普勒超声波评估.
主要成果:
- 12个月前前臂RAO在DRA组 (2.5%) 与TRA组 (6.7%) 相比显著较低.
- 与TRA相比,DRA与更短的静血时间和更少的出血和血液瘤有关.
- 通过DRA观察到更高的交叉率和更长的外插入时间.
结论:
- 与传统的透射通道 (TRA) 相比,远端辐射通道 (DRA) 与前臂辐射动脉封闭率 (RAO) 的降低以及血液静止时间的缩短有关.
- 尽管交叉率更高,但DRA可能是冠状动脉手术中辐射接入的首选选择.
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