对外周血管干预的辐射接入方法:美国心脏协会的科学声明
Circulation. Cardiovascular interventions
|December 4, 2024
概括
超辐射动脉接入显示了对外围血管干预的承诺,与大腿部接入相比,提供了较少的并发症. 需要进一步的研究来确认所有患者类型的安全性和有效性.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 冠状动脉干预的超辐射接入是由于降低出血和改善患者舒适性等好处而建立的.
- 扩大内血管治疗的指示,推动人们对外围干预的辐射接入产生兴趣.
研究的目的:
- 评估外围血管干预的跨射线动脉接入的安全性和有效性.
- 为了在外围手术中比较跨射线接入与传统的骨接入.
主要方法:
- 审查现有的单一中心和注册表数据的跨辐射外围干预.
- 对并发症率和患者结局的分析,与输接入相比.
主要成果:
- 在大多数外围干预中,与输接入相比,跨射线接入似乎是安全的,减少了出血和局部并发症.
- 专门的设备和技术仍在开发中,用于这种方法.
结论:
- 跨射线接入对外围血管干预有前途,比转门接入提供潜在的好处.
- 仔细选择患者至关重要,需要进一步的大规模前性试验来解决知识差距并确认死亡率的好处.
相关概念视频
Assessment of radial pulse
808
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:
808
Assessment of apical radial pulse
732
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
732
Pre-Procedural Guidelines for Assessing Blood Pressure
526
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...
526
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
380
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
380
Arteries of the Upper Limbs
472
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...
472
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
112
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,...
112


