经鼻烟壶区远端桡动脉路径介入背景下围术期桡动脉闭塞的预防  

Prevention of Perioperative Radial Artery Occlusion under the Background of Intervention via the Distal Radial Artery Pathway in the Snuff Bottle Area

作　　者：吴映红 张施明[2] Yinghong Wu;Shiming Zhang(Youjiang Medical College For Nationalities,Baise,Guangxi 533000;First Affiliated Hospital of Guangxi Univer-)

机构地区：[1]右江民族医学院,广西百色533000 [2]广西科技大学第一附属医院,广西柳州545000

出　　处：《医学研究前沿》2024年第8期35-37,共3页Frontiers of Medical Research

摘　　要：经皮冠状动脉介入治疗及冠状动脉造影在全球广泛开展,其中经桡动脉路径已被证实优于经股动脉路径,成为冠状动脉介入诊疗的首选路径。而TRA最常见的并发症是桡动脉闭塞。据2017年Hahalis等荟萃分析,TRA围术期RAO的发生率为6%~8%。RAO会妨碍同侧再次行TRA介入诊疗、血液透析患者动静脉瘘的使用以及冠状动脉病变严重需旁路移植患者桥血管的使用。因此,本文将对经dTRA介入背景下围术期RAO的预防进行一个综述。Percutaneous coronary intervention and coronary angiography have been widely developed in the world,among which the transra-dial route has been proved to be superior to the transfemoral route and become the preferred route for coronary intervention.The most com-mon complication of TRA is radial artery occlusion.According to a 2017 meta-analysis by Hahalis et al.,the incidence of perioperative RAO in TRA is 6%~8%.RAO may hinder ipilateral TRA interventional diagnosis and treatment,the use of arteriovenous fistula in hemodial-ysis patients,and the use of bridge vessels in patients with severe coronary artery disease requiring bypass transplantation.Therefore,this article will review the prevention of perioperative RAO in the context of dTRA intervention.

关 键 词：经远端桡动脉路径 鼻烟壶区 桡动脉闭塞 

分 类 号：R654.3[医药卫生—外科学]