人类测量措施对远距离与常规辐射接入对皮肤冠状动脉手术的影响
Gregory A Sgueglia1, Adel Aminian2, Marcus Wiemer3
1Division of Cardiology, Sant'Eugenio Hospital, Rome, Italy.
JACC. Advances
|February 3, 2025
概括
远距离辐射通道 (DRA) 是传统跨辐射通道的安全替代方案,其辐射动脉封闭率相似较低. 患者的身体测量不会影响穿皮冠状动脉手术中任何一种接入方法的有效性.
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:
- 远距离与常规辐射接入 (DISCO RADIAL) 试验确定了远距离辐射接入 (DRA) 作为传统跨辐射接入的可行替代方案.
- 这两种方法都显示了可比较低的辐射动脉封闭率 (RAO).
- 与传统接入相比,DRA显示出更高的交叉率,但血液静止时间较短.
研究的目的:
- 评估患者人体测量措施是否影响随机血管接入中的二次结果.
- 为了确定体重,身高,BMI和BSA对与访问有关的并发症的影响.
主要方法:
- 一项国际性的多中心随机对照试验 (DISCO RADIAL) 涉及1307名接受穿皮冠状动脉手术的患者.
- 患者被随机分配到DRA或使用6-FSlender的常规超辐射接入.
- 回归模型分析了人类测量对插入时间,放射性动脉,交叉,静血时间和接入部位并发症的影响.
主要成果:
- 主要终点,前臂RAO,在两个访问组中都不常见.
- 在人类测量和随机访问类型之间没有观察到对二次结果的显著相互作用效应.
- 血管接入对,交叉,静血和并发症的主要影响在不同患者人体测量中保持一致.
结论:
- 这项探索性分析支持了DISCO RADIAL试验的主要发现.
- 对于所有接受穿皮冠状动脉手术的患者,无论其人体特征如何,都建议远端辐射接入.
- 人类测量措施似乎不会改变与DRA相关的临床结果,而不是传统的透射接入.
更多相关视频
07:30Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
7.3K
13:48Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
Published on: April 21, 2023
1.4K
相关概念视频
01:11Assessment of radial pulse
782
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:
782
01:25Assessment of apical radial pulse
713
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
713
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
519
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...
519
01:21Sites for measruring blood pressure
1.4K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.4K