桡动脉闭塞经桡动脉远端通路逆行再通的初步研究:单中心经验。

IF 3.1 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiovascular Drugs and Therapy Pub Date : 2024-12-01 Epub Date: 2023-07-27 DOI:10.1007/s10557-023-07490-9
Huanhuan Wang, Cheng Cui, Haiming Liu, Bo Zhang, Tao Tian, Shaodong Ye, Weixian Yang, Jinqing Yuan, Bo Xu, Lijian Gao
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引用次数: 0

摘要

目的:桡动脉闭塞(RAO)是经桡动脉(TRA)穿刺后未解决的并发症。本观察性研究的目的是评估通过远端桡骨通路(dTRA)逆行再通RAO的可行性和安全性。方法:选取2021年6月至2022年3月28例经解剖鼻烟盒dTRA穿刺插管成功,经血管造影确认为RAO的患者。结果:28例RAO患者中27例(96.4%)经dTRA逆行再通成功,并成功行冠状动脉造影或冠状动脉介入治疗。手术后,仅有1例(3.7%)患者出现前臂血肿,无其他出血并发症或神经障碍。结论:DTRA是一种安全可行的RAO逆行再通方法,手术成功率高,并发症少。
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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Preliminary Study on Retrograde Recanalization of Radial Artery Occlusion Through Distal Radial Artery Access: a Single-Center Experience.

Purpose: Radial artery occlusion (RAO) is an unresolved complication after transradial artery (TRA) puncture. The aim of this observational study was to assess the feasibility and safety of retrograde recanalization of RAO through distal transradial access (dTRA).

Methods: From June 2021 to March 2022, 28 consecutive patients with successful puncture and intubation through the dTRA in the anatomical snuffbox and RAO confirmed by angiography were enrolled.

Results: Among the 28 patients, 27 (96.4%) patients with RAO were successfully retrogradely recanalized through the dTRA and successfully underwent coronary angiography or coronary intervention. After the procedure, only 1 (3.7%) patient developed a forearm hematoma, and there were no other bleeding complications or nerve disorders.

Conclusions: DTRA is a safe and feasible approach for retrograded recanalization of RAO, with a high procedure success rate and few complications.

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来源期刊
Cardiovascular Drugs and Therapy
Cardiovascular Drugs and Therapy 医学-心血管系统
CiteScore
8.30
自引率
0.00%
发文量
110
审稿时长
4.5 months
期刊介绍: Designed to objectively cover the process of bench to bedside development of cardiovascular drug, device and cell therapy, and to bring you the information you need most in a timely and useful format, Cardiovascular Drugs and Therapy takes a fresh and energetic look at advances in this dynamic field. Homing in on the most exciting work being done on new therapeutic agents, Cardiovascular Drugs and Therapy focusses on developments in atherosclerosis, hyperlipidemia, diabetes, ischemic syndromes and arrhythmias. The Journal is an authoritative source of current and relevant information that is indispensable for basic and clinical investigators aiming for novel, breakthrough research as well as for cardiologists seeking to best serve their patients. Providing you with a single, concise reference tool acknowledged to be among the finest in the world, Cardiovascular Drugs and Therapy is listed in Web of Science and PubMed/Medline among other abstracting and indexing services. The regular articles and frequent special topical issues equip you with an up-to-date source defined by the need for accurate information on an ever-evolving field. Cardiovascular Drugs and Therapy is a careful and accurate guide through the maze of new products and therapies which furnishes you with the details on cardiovascular pharmacology that you will refer to time and time again.
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