Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center Data.

IF 3.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiovascular Therapeutics Pub Date : 2023-05-16 eCollection Date: 2023-01-01 DOI:10.1155/2023/2560659

Huanhuan Wang, Dan Liu, Jidong Guo, Nuerbahati Heisha, Lei Wang, Qiang Zhang, Yihui Han, Xiping Wang, Bo Zhang, Jinqing Yuan, Lijian Gao

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Abstract

Background and aims: The distal transradial access (dTRA) is a new puncture site for coronary catheterization. We sought to evaluate the feasibility, safety, and complication rates of using the dTRA for cardiac catheterization in Chinese patients.

Methods: A total of 263 consecutive patients who underwent catheterization through the dTRA were enrolled. The primary endpoint of the study was the rate of conversion to another access site due to the impossibility of successful artery puncture or intubation. Secondary safety endpoints were the rates of bleeding-related complications and nerve disorders.

Results: Among 263 patients, the puncture success rate was 96.2% (253/263). Eleven patients were successfully punctured, but the guide wire was difficult to advance. One patient had intubation failure, and the success rate of intubation was 91.6% (241/263). Two hundred thirty-three patients underwent puncture via the right dTRA, 5 patients underwent puncture via the left dTRA, and 3 patients underwent puncture via the bilateral dTRA. A total of 158 (65.6%) patients underwent coronary angiography, and 83 (34.4%) patients underwent percutaneous coronary intervention. After the procedure, only 2 (0.8%) patients had mild bleeding at the puncture site, 2 (0.8%) had a forearm hematoma, and no patient had a nerve disorder.

Conclusions: DTRA has a low incidence of complications, making it a safe and effective technique for cardiac catheterization.

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经桡动脉远端入路冠状动脉导管术的有效性和安全性分析：单中心数据

背景和目的：经桡动脉远端入路（dTRA）是冠状动脉导管插入术的一个新穿刺部位。我们试图评估在中国患者中使用 dTRA 进行心导管检查的可行性、安全性和并发症发生率：方法：共招募了 263 名通过 dTRA 进行心导管检查的连续患者。研究的主要终点是因无法成功穿刺动脉或插管而改用其他入路部位的比例。次要安全终点是出血相关并发症和神经紊乱的发生率：在 263 名患者中，穿刺成功率为 96.2%（253/263）。11名患者穿刺成功，但导丝难以推进。一名患者插管失败，插管成功率为 91.6%（241/263）。233 名患者通过右侧 dTRA 进行了穿刺，5 名患者通过左侧 dTRA 进行了穿刺，3 名患者通过双侧 dTRA 进行了穿刺。共有 158 名（65.6%）患者接受了冠状动脉造影术，83 名（34.4%）患者接受了经皮冠状动脉介入治疗。术后，只有 2 名（0.8%）患者穿刺部位轻微出血，2 名（0.8%）患者前臂血肿，没有患者出现神经紊乱：DTRA并发症发生率低，是一种安全有效的心导管检查技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cardiovascular Therapeutics 医学-心血管系统

CiteScore

5.60

自引率

0.00%

发文量

审稿时长

6 months

期刊介绍： Cardiovascular Therapeutics (formerly Cardiovascular Drug Reviews) is a peer-reviewed, Open Access journal that publishes original research and review articles focusing on cardiovascular and clinical pharmacology, as well as clinical trials of new cardiovascular therapies. Articles on translational research, pharmacogenomics and personalized medicine, device, gene and cell therapies, and pharmacoepidemiology are also encouraged. Subject areas include (but are by no means limited to): Acute coronary syndrome Arrhythmias Atherosclerosis Basic cardiac electrophysiology Cardiac catheterization Cardiac remodeling Coagulation and thrombosis Diabetic cardiovascular disease Heart failure (systolic HF, HFrEF, diastolic HF, HFpEF) Hyperlipidemia Hypertension Ischemic heart disease Vascular biology Ventricular assist devices Molecular cardio-biology Myocardial regeneration Lipoprotein metabolism Radial artery access Percutaneous coronary intervention Transcatheter aortic and mitral valve replacement.