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5和6Fr膜对血液静止的持续时间和访问部位并发症的影响在远程超辐射方法中

Adem Aktan¹, Raif Kılıç¹, Tuncay Güzel²

¹Department of Cardiology, Mardin Artuklu University Faculty of Medicine, Mardin, Turkey.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

|September 16, 2025

概括

使用5-French (Fr) 的远距离透射方法 (dTRA) 与6-Fr相比没有增加血管并发症. 然而,5-Fr可以提供更短的静血时间,并减少冠状动脉血管学期间患者的不适.

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:

远距离透射方法 (dTRA) 正在为冠状动脉手术获得越来越多的普及,原因是患者的舒适性和访问优势.
对于dTRA在血管并发症和患者结局方面的最佳外尺寸需要进一步调查.

研究的目的:

为了比较dTRA中5-French (Fr) 与6-Fr大小对血管并发症,静血持续时间和患者报告的舒适度的影响.
在dTRA程序中识别影响血管并发症的因素.

主要方法:

在2020年1月至2023年10月期间接受冠状动脉血管造影 (CAG) 的dTRA患者的回顾性分析.
根据5Fr或6Fr的大小分组患者.
收集的数据包括程序细节,血管并发症,静血持续时间和疼痛评分.

主要成果:

在5-Fr和6-Fr组之间没有观察到血管并发症的显著差异 (p=0.18).
血液静止的持续时间与5-Fr (97.8分钟) 相比,与6-Fr (122.0分钟;p<0.001) 相比,5-Fr显著更短.
在6-Fr组中,严重的疼痛更频繁 (p=0.036),严重的疼痛,刺穿时间和使用P2Y12抑制剂与并发症有关.

结论:

在dTRA中,体大小 (5-Fr与6-Fr) 并没有显著影响血管并发症率.
在dTRA中使用5-Fr可能会导致血液静止时间缩短和患者不适.
穿孔时间,疼痛严重程度和P2Y12抑制剂的使用等程序因素对于最小化并发症至关重要,支持量身定制的皮套选择.

关键词:

冠状动脉动脉图 (Coronary Angiography) 是一种冠状动脉动脉图.远距离的跨辐射方法.血液静止血液静止血液静止通过皮肤进行冠状动脉干预.护套尺寸护套尺寸护套尺寸血管并发症血管并发症

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