通过皮肤冠状动脉干预和血管造影进行远端和近端辐射接入的比较:对随机对照试验的综合元分析和系统审查
Mostafa Adel T Mahmoud1,2, Nada G Hamam2,3, Thoria I Essa Ghanm2,4
1Faculty of Medicine, Beni Suef University, Beni Suef, Egypt.
Coronary artery disease
|December 23, 2024
概括
远端辐射接入 (DRA) 为冠状动脉手术提供了更安全的替代方案,减少了诸如辐射动脉封闭等并发症. 然而,与近距离辐射接入 (PRA) 相比,DRA在访问时间和故障率方面存在挑战.
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
- 干预心脏病学 干预心脏病学
背景情况:
- 远距离辐射接入 (DRA) 是冠状动脉手术的一个新兴技术.
- 有证据表明,与近端辐射接触 (PRA) 相比,DRA可能会降低并发症风险.
研究的目的:
- 系统地审查和比较DRA与PRA的临床和程序结果.
- 评估DRA在冠状动脉血管学和皮肤穿冠状动脉干预方面的安全性和有效性.
主要方法:
- 随机对照试验 (RCT) 的系统审查.
- 在PubMed,科学网,Cochrane和Scopus中进行了搜索.
- 包括23个RCT,包括10,062名患者.
主要成果:
- DRA显著减少了辐射动脉封闭,出血和手的拙.
- DRA表明血液静止的时间更短.
- DRA的访问失败率更高,访问时间更长,疼痛增加.
- 主要不良心脏事件和手部功能在DRA和PRA之间是可比的.
结论:
- 远端辐射接入 (DRA) 是冠状动脉手术中近端辐射接入 (PRA) 的安全替代方案.
- DRA 降低了并发症的发生率,尤其是辐射动脉封闭.
- 与访问相关的挑战,包括失败率和疼痛,是DRA的局限性.
相关概念视频
01:11Assessment of radial pulse
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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:
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01:25Assessment of apical radial pulse
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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
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