经桡动脉入路在外周介入手术中的现状及进展

Status and progress of peripheral interventions via trans-radial access

桡动脉入路已是冠状动脉介入诊疗的常规路径,与股动脉入路相比具有局部并发症少、患者舒适度高、改善患者预后等优点,已获得广泛认可与推荐。近年来,桡动脉入路的外周血管介入也越来越受到重视。本文回顾了经桡动脉入路外周血管介入诊疗的发展历程,结合最新研究进展分析比较经桡动脉入路外周血管介入的优势、不足、注意事项以及未来发展问题,以期使更多介入医生能了解和应用经桡动脉入路,进而使患者在介入诊疗过程中有更多获益。

Trans-radial access(TRA)has been a common approach to percutaneous coronary intervention(PCI).Comparing with trans-femoral access(TFA),TRA is used as an alternative approach for PCI with less local complications,higher comfort level,and better outcome.In recent years,TRA has been paid more and more attention in peripheral vascular interventions.We reviewed recent developments in peripheral vascular intervention using TRA,with detail summary of the effectiveness,safety,limits,and future developments of it,aiming to improve the understanding and performance of TRA in interventionalists to benefit patients.