经桡动脉入路外周介入中国专家共识  

Chinese expert consensus on the transradial access in percutaneous peripheral interventions Chinese Society of Interventional Oncology, China Anti- Cancer Association

作　　者：中国抗癌协会肿瘤介入学专业委员会 颜志平[2] 李佳睿[3] 董伟华[4] Chinese Society of Interventional Oncology,China Anti-Cancer Association;YAN Zhiping;LI Jiarui;DONG Weihua(不详;Affiliated Zhongshan Hospital of Fudan University,China;First Hospital of Jilin University,China;Shanghai Changzheng Hospital,China)

机构地区：[1]不详 [2]复旦大学附属中山医院 [3]吉林大学第一医院 [4]上海长征医院

出　　处：《介入放射学杂志》2023年第3期205-214,共10页Journal of Interventional Radiology

摘　　要：经桡动脉入路(transradial access,TRA)行介入手术具有安全、舒适的特点,是冠脉介入的首选入路。但TRA在外周介入中应用不足。目前对如何选择合适的患者、合适的器械、降低TRA并发症及提高TRA使用率尚认识不足。为了更好地推广TRA在外周介入中的应用,指导TRA临床患者选择、技术操作规范和医师技能训练,中国抗癌协会肿瘤介入学专业委员会于2022年组织全国范围内的介入专家成立《经桡动脉入路外周介入中国专家共识》工作小组,并共同制定本共识。本文主要聚焦TRA外周应用现状、优势及局限性、桡动脉解剖学特征、患者选择、操作规范、常见并发症预防与处理、辐射剂量及学习曲线,并通过文献评价结合专家组意见达成共识。Transradial access(TRA)is a safe and comfortable approach in performing interventional operations and it is the preferred access for percutaneous coronary intervention.However,TRA has not been widely used in peripheral interventions so far.At present,in clinical practice there is still a lack of awareness on how to select the suitable patients and the appropriate devices,how to reduce TRA complications and improve the utilization of TRA.Therefore,in order to better promote the application of TRA in peripheral interventions,guide clinicians to select patients suitable for using TRA,and improve the technical operation speci fications as well as physician skills training,the Chinese Society of Interventional Oncology of China Anti-Cancer Association,organized nationwide experts to establish a Working Group of《Chinese Expert Consensus on the TRA in percutaneous peripheral interventions》in 2022 and jointly formulated this consensus.This consensus mainly focuses on the current situation,advantages and limitations of TRA peripheral intervention,anatomical characteristics of radial artery,selection of patient,operation specifications,prevention and treatment of common complications,radiation dose,and learning curve.Through the literature evaluation and referring to the opinions of the expert group,this consensus was composed.

关 键 词：经桡动脉入路 经股动脉入路 外周介入 

分 类 号：R815[医药卫生—放射医学]