2022年经桡动脉入路外周介入临床应用调查  

A survey on clinical applications of transradial access for peripheral interventions in 2022

作　　者：周馨 杨敏捷 孟小茜 李佳睿[5] 黄勇慧[6] 安天志 游箭 李二生[9] 张雯 颜志平 ZHOU Xin;YANG Minjie;MENG Xiaoqian;LI Jiarui;HUANG Yonghui;AN Tianzhi;YOU Jian;LI Ersheng;ZHANG Wen;YAN Zhiping(Department of Interventional Radiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;National Clinical Research Center for Interventional Medicine,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Shanghai Institution of Medical Imaging,Shanghai 200032,China;Department of Interventional Diagnosis and Therapy,the Second Affiliated Hospital,Naval Medical University,Shanghai 200041,China;Department of Interventional Radiology,the First Hospital of Jilin University,Changchun 130031,Jilin,China;Department of Interventional Radiology,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,Guangdong,China;Department of Interventional Radiology,the Affiliated Hospital of Guizhou Medical University,Guiyang 550002,Guizhou,China;Department of Interventional Radiology,Guiqian International General Hospital,Guiyang 550024,Guizhou,China;Department of Interventional Radiology,the First Affiliated Hospital of Xingtai Medical College,Xingtai 054001,Hebei,China)

机构地区：[1]复旦大学附属中山医院介入治疗科,上海200032 [2]国家放射与治疗临床医学研究中心,上海200032 [3]上海市影像医学研究所,上海200032 [4]海军军医大学附属第二医院介入诊疗科,上海200041 [5]吉林大学第一医院介入治疗科,长春130031 [6]中山大学附属第一医院放射介入科,广州510080 [7]贵州医科大学附属医院介入科,贵阳550002 [8]贵黔国际总医院介入科,贵阳550024 [9]邢台医学高等专科学校第一附属医院介入治疗科,邢台054001

出　　处：《中国临床医学》2024年第3期440-444,共5页Chinese Journal of Clinical Medicine

基　　金：国家自然科学基金(82302323)。

摘　　要：目的调查经桡动脉入路(transradial access,TRA)在中国医院外周介入中的应用现状、存在问题以及各单位开展桡动脉入路的具体需求,以便更好地推广和发展TRA在外周手术中的应用。方法2022年中国抗癌协会肿瘤介入专业委员会(Committee of Interventional Oncology of China Anti-Cancer Association)采用横断面调查方法,在全国范围内调查TRA外周介入手术情况并进行统计学分析。结果共60家医院参与了调查问卷填写,结果显示TRA外周介入手术量远低于经股动脉入路(transfemoral access,TFA),且在各医院之间存在较大差异。阻碍TRA开展的首要因素是无合适的导管和桡动脉穿刺困难。86.67%的医疗机构希望器械改进或研发新器械,尤其是导管、微导管、导丝。60.00%医疗机构希望能加强系统性培训以及进行多中心临床研究。结论国内多家医疗机构已熟练掌握TRA外周介入手术,但须加强系统性培训及进一步普及TRA在外周介入的应用,而且更适合TRA的器械亟待研发。Objective To investigate the current status,obstacles,and specific needs associated with the application of transradial access(TRA)in peripheral interventions in Chinese hospitals,with the aim of promoting the broader adoption of TRA in interventional procedures.Methods The Committee of Interventional Oncology of China Anti-Cancer Association conducted a cross-sectional questionnaire survey to investigate and analyze the nationwide situation of TRA in peripheral interventional surgeries in 2022.Results Personnel from 60 hospitals participated in the questionnaire.The results showed that the number of peripheral interventionals performed using TRA was significantly lower than that performed using transfemoral access(TFA),with considerable variability among hospitals.The primary obstacles to the adoption of TRA were the lack of suitable catheters and the difficulty of radial artery puncture.Approximately 86.67%of the institutions expressed a high expectation for the innovation of new TRA-specific devices,particularly catheters,microcatheters,and guidewires.60.00%of medical institutions indicated a strong desire for systematic training and participation in multi-center clinical trials.Conclusions TRA peripheral intervention is feasible in many hospitals in China,however,systematic training and further promotion of TRA are essential.The innovation of new TRA-specific devices and TRA in peripheral intervention is urgent.

关 键 词：经桡动脉入路 外周介入 问卷调查 医疗机构 

分 类 号：R815[医药卫生—放射医学]