[1]郭亚辉,钟 瑞,陈恩典,等.术前桡动脉超声在桡动脉入路脑血管介入治疗中临床效果[J].介入放射学杂志,2026,(05):528-532.[doi:10.3969/j.issn.1008-794X.2026.05.011 ]
　GUO Yahui,ZHONG Rui,CHEN Endian,et al.The clinical application of preoperative radial artery ultrasonography in cerebrovascular interventional therapy via radial artery approach[J].J Intervent Med,2026,(05):528-532.[doi:10.3969/j.issn.1008-794X.2026.05.011 ]
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术前桡动脉超声在桡动脉入路脑血管介入治疗中临床效果()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2026年05
页码:
528-532
栏目:
临床研究
出版日期:
2026-05-25

文章信息/Info

Title:
The clinical application of preoperative radial artery ultrasonography in cerebrovascular interventional therapy via radial artery approach
文章编号:
1008-794X(2026)-005-0528-05
作者:
郭亚辉;  钟 瑞;  陈恩典;  高海琴;  刘 锐;  杨 东;  樊新颖;  刘亚红
210002 江苏南京 解放军东部战区总医院神经内科重症监护室
Author(s):
GUO Yahui; ZHONG Rui; CHEN Endian; GAO Haiqin; LIU Rui; YANG Dong; FAN Xinying; LIU Yahong.
Intensive Care Unit,Department of Neurology,General Hospital of Eastern Theater Command of People's Liberation Army,Nanjing,Jiangsu Province 210002,China
关键词:
术前;  桡动脉;  超声;  桡动脉入路;  脑血管;  介入;  临床效果
分类号:
R445.1
DOI:
10.3969/j.issn.1008-794X.2026.05.011
文献标志码:
B
摘要:
目的 评价桡动脉入路(transradial approach,TRA)脑血管介入治疗患者术前桡动脉超声检查的必要性和临床效果。方法 选取2023年9月至2024年9月在东部战区总医院接受TRA脑血管介入术531例患者。随机分为对照组(术前未行桡动脉超声检查)260例,试验组(术前行桡动脉超声检查)271例。比较两组间穿刺成功率、并发症发生率和患者满意度。结果 试验组首次穿刺成功率显著高于对照组(94.46%对87.69%,P=0.006),并发症发生率更低(9.23%比25.00%,P<0.001),患者满意度评分更高[(4.79±0.41)比(4.42±0.63),P<0.001]。多因素logistic回归分析和列线图显示,术前桡动脉超声检查可有效提高桡动脉穿刺成功率,同时降低术后并发症发生率。结论 术前桡动脉超声检查为介入医师提供了直观的桡动脉解剖信息和血流动力学参数并进行标记,可提高穿刺成功率,降低并发症发生率,提高患者满意度。这种优化的临床结局使患者获益。

参考文献/References:

[1] Safian RD.Asymptomatic carotid artery stenosis:revascularization[J].Prog Cardiovasc Dis,2017,59:591-600.
[2]Khanna O,Sweid A,Mouchtouris N,et al.Radial artery catheterization for neuroendovascular procedures[J].Stroke,2019,50:2587-2590.
[3]王康萌,李 威,赵振强.经桡动脉入路行脑血管介入治疗急性缺血性脑卒中的现状及进展[J].中国研究型医院,2023,10:28-31.
Wang KM,Li W,Zhao ZQ.Current status and advances in transradial approach for endovascular treatment of acute ischemic stroke[J].Chin J Res Hosp,2023,10:28-31.
[4]Sandoval Y,Bell MR,Gulati R.Transradial artery access complications[J].Circ Cardiovasc Interv,2019,12:e007386.
[5]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,2024,33:1288-1292.
Wu J,Cai RZ,Li QP,et al.Clinical application of left distal transradial artery/transradial artery access in neurointerv-entional diagnosis and treatment[J].J Interv Radiol,2024,33:1288-1292.
[6]Bukhari SN,Javed I,Usman M.Incidence of radial artery occlusion in patients undergoing percutaneous coronary intervention via trans radial access[J].Pak J Med Sci,2023,39:377-379.
[7]Alkagiet S,Petroglou D,Nikas DN,et al.Access-site complications of the transradial approach:rare but still there[J].Curr Cardiol Rev,2021,17:279-293.
[8]梁燕敏,段舒晨,李 刚,等.经桡动脉入径与腕背支动脉入径穿刺行 经皮冠脉介入治疗的疗效比较.中国中西医结合急救杂志,2023,30:329-332.
Liang YM,Duan SC,Li G,et al.Comparative study on the efficacy of percutaneous coronary intervention via radial artery access versus wrist dorsal branch artery access[J].J Chin Integr Med Emerg Med,2023,30:329-332.
[9]Weum S,Mercer JB,de Weerd L.Evaluation of dynamic infrared thermography as an alternative to CT angiography for perforator mapping in breast reconstruction:a clinical study[J].BMC Medical Imaging,2016,16:43.
[10]潘文龙,王 芳,罗永春.经桡动脉路径行神经介入治疗患者的围术期护理研究进展[J].介入放射学杂志,2024,33:1142-1146.
Pan WL,Wang F,Luo YC.Research progress in perioperative nursing for patients undergoing neurointerventional therapy via radial artery access[J].J Interv Radiol,2024,33:1142-1146.
[11]刘 静,王晓飞,晋 辉,等.多普勒超声评价桡动脉穿刺经历对远端桡动脉的影响[J].中国临床医生杂志,2023,51:1158-1160.
Liu J,Wang XF,Jin H,et al.Evaluation of the effect of radial artery puncture experience on the distal radial artery using doppler ultrasound[J].Chin J Clin Physicians,2023,51:1158-1160.
[12]钱嘉斌,吴晓晓,张美玲.经桡动脉与股动脉入路介入治疗老年冠心病患者对比观察[J].医药前沿,2025,15:45-48.
Qian JB,Wu XX,Zhang ML.Comparative observation of transradial artery and transfemoral artery approaches in interventional treatment of elderly patients with coronary heart disease[J].J Med Front,2025,15:45-48.
[13]杨子璇,陈 琳,樊 荣,等.电针预防冠状动脉介入治疗病人桡动脉痉挛的临床研究[J].中西医结合心脑血管病杂志,2024,22:723-727.
Yang ZX,Chen L,Fan R,et al.A clinical study on the prevention of radial artery spasm in patients undergoing coronary intervention by electroacupuncture[J].J Integr Med Cardio-Cerebrovasc Dis,2024,22:723-727.
[14]李高叶,周云英,赵文利,等.经桡动脉介入诊疗患者术肢并发症预防及护理专家共识[J].介入放射学杂志,2024,33:465-471.
Li GY,Zhou YY,Zhao WL,et al.Expert consensus on prevention and nursing of surgical limb complications in patients undergoing transradial artery puncture intervention[J].J Interv Radiol,2024,33:465-471.
[15]田伟玲,孟小茜,廖华强,等.桡动脉穿刺失败后经同侧尺动脉途径行外周血管介入的安全性与可行性[J].介入放射学杂志,2024,33:723-727.
Tian WL,Meng XQ,Liao HQ,et al.Safety and feasibility of ipsilateral ulnar artery approach for peripheral vascular intervention after failed radial artery puncture[J].J Interv Radiol,2024,33:723-727.
[16]闫 鹤,张冬燕,郭 旭,等.基于倾向性匹配评分的老年患者X线对比超声引导股动脉穿刺的安全性分析[J].中华老年心脑血管病杂志,2024,26:774-778.
Yan H,Zhang DY,Guo X,et al.Safety of X-ray-versus ultrasound-guided femoral artery puncture in elderly patients:an analysis based on propensity score matching[J].Chin J Geriatr Cardiol Cerebrovasc Dis,2024,26:774-778.
[17]臧君仁,侯国锐,成瑞博,等.经桡动脉入路冠状动脉造影及支架植入术治疗老年冠心病患者的效果[J].河南医学研究,2019,28:4260-4261.
Zang JR,Hou GR,Cheng RB,et al.Clinical effectiveness of transradial approach for coronary angiography and stent implantation in treating elderly patients with coronary heart disease[J].Henan Med.Res,2019,28:4260-4261.
[18]宋森磊.不同入路经皮冠状动脉介入术对老年冠心病患者的疗效比较[J].河南医学研究,2020,29:3525-3527
Song SL.Comparative efficacy analysis of different percutaneous coronary intervention(PCI)access routes in elderly patients with coronary heart disease[J].Henan Med Res,2020,29:3525-3527.
(收稿日期:2025-03-13)
(本文编辑:谷 珂)

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　SHEN Zhenglin,QIN Yongfang..Successful management of the swelling of the back of hand occurring after anastomosis of internal fistula between left radial artery and cephalic vein： report of one case[J].J Intervent Med,2019,28(05):399.

备注/Memo

备注/Memo:
基金项目: 科技创新研究计划项目(2023YYHLZX190)
通信作者: 刘亚红 E-mail:1185626794@qq.com
更新日期/Last Update: 2026-05-25