经远端桡动脉路径在冠心病诊疗中的研究进展及展望  

Application and progress of distal transradial access for coronary heart disease

作　　者：蔡梦阳 夏晴 章慧慧 袁红 CAI Mengyang;XIA Qing;ZHANG Hui-hui;YUAN Hong(Department of Cardiology,First People’s Hospital of Linping District,Hangzhou 311100,China)

机构地区：[1]杭州市临平区第一人民医院心内科,浙江杭州311100

出　　处：《中国介入心脏病学杂志》2024年第7期390-395,共6页Chinese Journal of Interventional Cardiology

基　　金：浙江省中医药科技计划项目(2024ZL832);临平区科技计划项目(LPWJ2023-02-05)。

摘　　要：近年来冠心病的发病率呈逐年上升趋势,经皮冠状动脉介入治疗是冠心病的有效治疗方法之一,而桡动脉是其传统的血管路径。舒适化医疗医学时代,经远端桡动脉路径(dTRA)是一种用于冠状动脉造影和经皮冠状动脉介入治疗的新手术路径,其具有局部并发症少,患者舒适度高等优点,正在逐渐替代传统桡动脉路径(TRA)。然而,作为近两年新兴的技术,dTRA也存在一些缺点,如血管扭曲、直径小等,可能导致穿刺失败、血管痉挛、导丝送入困难等不良事件。本文就dTRA行冠状动脉介入诊疗的应用价值及进展作一综述,以促进其在临床诊疗中推广,进而使更多患者获益。The incidence of coronary heart disease increases annually,percutaneous coronary intervention(PCI)is one of the effective treatment methods of coronary heart disease,and the transradial artery has been the most common vascular access site utilized for this procedure.Moreover,under the new era of comfortable medical treatment,the distal transradial access(dTRA)path is a new surgical path for coronary angiography and percutaneous coronary intervention,which may be replace the traditional transradial access(TRA)pathway because of its merits of less complications and higher comfort level.However,as an emerging method,the distal radial artery also has some drawbacks,such as vascular distortion,small diameter,which may cause puncture failure,vascular spasm,and difficulty in guiding wires.This article reviews on clinical application value and progress of DRA for percutaneous coronary intervention,and aiming to promote its promotion in cardiac interventionalists to benefit PCI patients.

关 键 词：冠心病 冠状动脉造影 经皮冠状动脉介入治疗 远端桡动脉 

分 类 号：R54[医药卫生—心血管疾病]