诊断脑血管造影的远距离与近距离的透射接入:一个单中心的经验
Shan Jiang1, Shanlin Yu2, Baodong Gu1
1Department of Neurology, Nanjing University of Chinese Medicine Affiliated Hospital of Lianyungang (Lianyungang Hospital of Traditional Chinese Medicine), Lianyungang 222001, China.
概括
远端透射接入 (dTRA) 是脑血管学的一种安全有效的方法,与近端透射接入 (pTRA) 相比,它显示出较少的并发症,例如辐射动脉封闭. 如果dTRA失败了,pTRA仍然可以成功使用.
科学领域:
- 干预神经病学 干预神经病学
- 血管接入技术 血管接入技术
- 脑血管成像 脑血管成像
背景情况:
- 脑血管造影是脑血管疾病的关键诊断工具.
- 跨射线接入越来越多地用于血管造影,但远端和近端方法之间的比较很重要.
- 评估不同辐射动脉穿刺部位的安全性和有效性对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较大脑血管造影的安全性和有效性,使用远端透射接入穿刺 (dTRA) 与近端辐射动脉穿刺 (pTRA).
- 评估两个访问技术之间的关键程序指标和并发症率.
主要方法:
- 一项随机对照试验,涉及494名接受脑血管造影的患者.
- 患者被分配到dTRA或pTRA组,比例为1:1.
- 评估的指标包括刺穿成功率,时间,光镜持续时间,手术时间和并发症发生率.
主要成果:
- dTRA表现出高的成功率 (92.7%),在所有失败 (100%) 中成功转换为pTRA.
- 与pTRA相比,dTRA组的辐射动脉封闭率,手和皮下血液瘤明显较低.
- 在dTRA和pTRA组之间,程序时间 (刺穿,光镜,手术) 是可比的.
结论:
- 远距离透射接入 (dTRA) 是大脑血管学的一种安全有效的方法.
- dTRA可降低放射性动脉封闭和其他进入部位并发症的发生率.
- dTRA的失败不会影响通过pTRA成功执行手术的能力,支持其临床实用性.
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