摘要
为冠的 catheterization 的 BackgroundTransradial 存取与传统的 transfemoral 途径相比是更技术上挑战性的，光线的存取失败是相当普通的。学习是在高度在起始的光线的存取地点失败以后描述另外的步的这的目的专业化所有冠的 catheterizations 的回顾的评估在我们在2016年1月之间的部门执行了的前臂途径 center.MethodsA ，2016年12月被执行，与动脉的 access.ResultsOne 的焦点，千三百四十六个过程被评估。使用的起始的存取地点是恰好光线的[1173 过程(87.1%)] ，留给光线[120 过程(8.9%)] ，恰好尺骨[7 过程(0.5%)] ，留给尺骨[40 过程(2.9%)] 并且大腿骨的途径[6 过程(0.4%)] 。光线的动脉管子失败在 37 过程(有起始的光线的途径的 1293 过程中的 2.9% 个) 被观察。在成功的光线的鞘插入以后的过程结束的失败在 46 过程(3.6%) 被观察。在起始的光线的途径失败以后的其他的存取地点是 contralateral 光线[ 43 过程(51.8%)]， ipsilateral 尺骨[ 22 过程(26.5%)， contralateral 尺骨[ 12 个病人(14.5%)]并且大腿骨的途径[ 6 过程(7.2%)] .ConclusionForearm 动脉能在起始的光线的途径失败以后被用作其他的存取地点以便在心脏的 catheterization 期间减少大腿骨的途径的使用。
Background Transradial access for coronary catheterization is more technically challenging compared to the traditional transfemoral approach and radial access failure is quite common. The aim of this study is to describe the additional steps after initial radial access site failure in a high specialized forearm approach center. Methods A retrospective evaluation of all coronary catheterizations performed in our Department between January 2016 and December 2016 was performed, with focus on arterial access. Results One thousand three hundred forty six procedures were evaluated. The initial access site used was right radial [1173 procedures （87.1%）], left radial [120 procedures （8.9%）], fight ulnar [7 procedures （0.5%）], left ulnar [40 procedures （2.9%）] and femoral approach [6 procedures （0.4%）]. Radial artery can- nulation failure was observed in 37 procedures （2.9% of 1293 procedures with initial radial approach）. Failure of procedure completion after successful radial sheath insertion was observed in 46 procedures （3.6%）. The alternative access site after initial radial approach failure was contralateral radial [43 procedures （51.8%）], ipsilateral ulnar [22 procedures （26.5%）, contralateral ulnar [12 patients （14.5%）] and femoral approach [6 procedures （7.2%）]. Conclusion Forearm arteries can be used as alternative access site after initial radial approach failure in order to reduce the use of femoral approach during cardiac catheterization.
