Minjie Yang , Sen Jiang , Yanli Wang , Xiaoxi Meng , Liwen Guo , Wen Zhang , Xin Zhou , Zhiping Yan , Jiarui Li , Weihua Dong
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引用次数: 0
摘要
经桡动脉入路(TRA)是一种安全舒适的方法,也是经皮冠状动脉介入治疗的首选入路。然而,经桡动脉入路并没有广泛用于外周介入治疗。目前,在患者选择、合适的医疗器械、并发症预防以及 TRA 的采用方面缺乏数据。因此,中国抗癌协会肿瘤介入学分会组织全国专家成立了2022年经皮外周介入治疗TRA中国专家共识工作组,共同制定了本共识,以更好地推动TRA在外周介入治疗中的应用,从患者选择、技术建议、医生培训等方面指导临床医生。本共识主要针对TRA在外周介入治疗中的现状、优势和局限、桡动脉的解剖特点、患者选择、技术方面、并发症的预防和处理、放射剂量和学习曲线等方面进行了阐述。通过文献评估和参考专家组的意见达成了共识。
Chinese expert consensus on transradial access in percutaneous peripheral interventions
Transradial access (TRA) is a safe and comfortable approach and the preferred access for percutaneous coronary intervention. However, TRA is not widely used for peripheral interventions. Currently, there is a lack of data on patient selection, appropriate medical devices, complication prevention, and TRA adoption. Therefore, the Chinese Society of Interventional Oncology of the China Anti-Cancer Association organized nationwide experts to establish a Working Group of China Expert Consensus on TRA in percutaneous peripheral interventions in 2022, and jointly formulated this consensus to better promote the application of TRA in peripheral interventions to guide clinicians on patient selection, technical recommendations, and physician training. This consensus mainly focuses on the current situation, advantages and limitations of TRA in peripheral interventions, anatomical characteristics of the radial artery, patient selection, technical aspects, prevention and management of complications, radiation dose, and learning curve. A consensus was reached through a literature evaluation and by referring to the opinions of the expert group.