[1]吴剑,蔡然泽,李秋平,等.左侧远端桡动脉/桡动脉入路在神经介入诊疗中的临床应用 [J].介入放射学杂志,2024,33(12):1288-1292.
 WU Jian,CAI Ranze,LI Qiuping,et al.Clinical application of left distal transradial artery/transradial artery access in neurointerventional diagnosis and treatment[J].journal interventional radiology,2024,33(12):1288-1292.
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左侧远端桡动脉/桡动脉入路在神经介入诊疗中的临床应用
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年12
页码:
1288-1292
栏目:
神经介入
出版日期:
2024-12-25

文章信息/Info

Title:
Clinical application of left distal transradial artery/transradial artery access in neurointerventional diagnosis and treatment
作者:
吴剑蔡然泽李秋平齐飚
Author(s):
WU JianCAI RanzeLI QiupingQI Biao.
Department of Neurosurgery,Xiamen Branch,Affiliated Zhongshan Hospital of Fudan University,Xiamen,Fujian Province 361000,China
关键词:
【关键词】左侧桡动脉入路左侧远端桡动脉入路神经介入治疗脑血管造影
文献标志码:
A
摘要:
【摘要】目的观察左侧远端桡动脉(dTRA)/桡动脉(TRA)入路神经介入诊疗的安全性及可行性。方法回顾性分析复旦大学附属中山医院厦门医院2022年1月至2023年12月收治的接受右侧、左侧dTRA/TRA行脑血管造影及神经介入诊疗患者的资料,包括一般信息(年龄、性别、基础疾病等)、临床资料(手术方式、手术入路、X线透视时间、穿刺相关并发症等)。 结果纳入经左侧dTRA/TRA行神经介入诊疗患者32例,其中造影11例,介入治疗21例,介入治疗患者均为左侧椎基底动脉疾病。纳入同期经右侧dTRA/TRA行神经介入诊疗患者49例,其中造影19例,血管内治疗30例,介入治疗患者均为右侧椎基底动脉疾病,造影患者均为既往接受治疗后复查造影,且均为前循环系统血管内疾病。所有行介入治疗及造影患者均顺利完成手术且无严重并发症。经左侧dTRA/TRA行介入治疗患者中,4例改TRA完成手术,2例改股动脉(TFA),1例经左侧dTRA因血管通路不稳定改TFA继续完成手术;行造影患者中4例患者改左侧TRA顺利完成造影,共3例患者未能完成选择性右侧锁骨下动脉插管;行介入治疗的患者中有2例术后出现远端桡动脉穿刺点局部淤青,所有造影及介入治疗患者术后复查彩超均未见桡动脉闭塞。经右侧dTRA/TRA行神经介入患者中,4例改右侧TRA完成手术,2例改TFA;行造影患者中4例改右侧TRA,所有患者均顺利完成双侧颈总动脉,双侧锁骨下动脉血管插管,有3例术后出现远端桡动脉穿刺点局部淤青,所有造影及介入治疗患者术后复查彩超均未见桡动脉闭塞。在神经介入诊疗中,经左侧dTRA/TRA和右侧dTRA/TRA对比,穿刺远端桡动脉成功率、术中X线透视时间、对4根主要血管(右侧颈总动脉、左侧颈总动脉、右侧锁骨下动脉、左侧锁骨下动脉)的插管成功率、术后穿刺点并发症的发生率差异均无统计学意义(均P<0.05)。结论左侧远端桡动脉/桡动脉入路行脑血管造影及神经介入治疗是安全可行的。

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备注/Memo

备注/Memo:
(收稿日期:2024-01-08)
(本文编辑:新宇)
更新日期/Last Update: 2024-12-18