远端辐射接入的可行性和安全性,用于血管接入的干预治疗
Koji Kuroda1, Ayaka Murakami2, Takafumi Todoroki2
1Department of Cardiology, Hyogo Prefectural Awaji Medical Center, 1-1-137 Shioya, Sumoto, Hyogo, 656-0021, Japan. k722black@yahoo.co.jp.
Cardiovascular intervention and therapeutics
|May 4, 2025
概括
远端辐射接入 (DRA) 是血管接入干预疗法 (VAIVT) 的安全和可行的选择. 这种方法表现出可比的成功率和低的并发症发病率,使其成为治疗动脉静脉塞狭窄症的可行替代方案.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 远端辐射接入 (DRA) 越来越多地用于冠状动脉血管学,以尽量减少辐射动脉封闭.
- 血管接入干预疗法 (VAIVT) 传统上治疗动脉静脉缩,但DRA的作用尚未被探索.
研究的目的:
- 评估使用DRA用于VAIVT程序的可行性和安全性.
- 为了比较基于DRA的VAIVT与标准访问 (SA) 方法的结果.
主要方法:
- 对于上肢动脉静脉的421个VAIVT手术的回顾性分析.
- 181个程序使用DRA (DRA组),而另一些则使用手臂/静脉接入 (SA组).
- 临床随访评估了血液瘤和透析接入相关的Steal综合征 (DASS),平均为24个月.
主要成果:
- 在DRA (97.8%) 和SA (98.3%) 组之间,VAIVT的成功率相似 (P=0.73).
- 穿孔部位血液瘤的发生率很低,并且可以比较 (DRA:0.0%与SA:0.8%;P=0.51).
- 在DRA组中没有发生DASS并发症;该组中94.4%的重复VAIVT程序也使用了DRA.
结论:
- 远距离辐射接入是执行VAIVT的可行和安全策略.
- DRA可以被认为是VAIVT可行的替代接入方法,特别是在重复干预方面.
更多相关视频
05:31Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
5.5K
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
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
01:25Assessment 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