经桡动脉介入诊疗患者术肢并发症预防及护理专家共识

Expert consensus on prevention and nursing of surgical limb complications in patients undergoing transradial artery puncture intervention

经桡动脉穿刺入路行介入诊疗术可减少入路部位并发症,但仍可导致患者术肢出现并发症,如桡动脉痉挛、桡动脉穿孔、出血血肿、桡动脉夹层、骨筋膜室综合征、神经损伤、假性动脉瘤、动静脉瘘及桡动脉闭塞,其中桡动脉痉挛最为常见。目前针对术肢并发症识别、预防及处理的认识尚不足。本共识从介入诊疗经桡动脉穿刺入路九大类术肢主要并发症的识别、预防及护理等方面进行初步阐述,推出24条推荐意见,可为医疗机构开展术肢并发症护理提供参考,减少患者并发症发生。

Transradial access(TRA)for performing interventional diagnosis and treatment can reduce access site complications.However,TRA can still cause complications in the operated limb,including radial artery spasm,radial artery perforation,hemorrhage,hematoma,radial artery dissection,osteofascial compartment syndrome,nerve injury,pseudoaneurysm,arteriovenous fistula,and radial artery occlusion,among which radial artery spasm is the most commonly seen.At present,the clinical recognition,prevention and treatment of complications of surgical limbs are still insufficient.Therefore,this consensus aims to make a detailed introduction about the identification,prevention and nursing of nine major types of complications of the surgical limb in interventional diagnosis and treatment procedures via radial artery access,to propose 24 recommendations which may provide a reference for medical institutions in carrying out the nursing care for complications of the surgical limb in interventional diagnosis and treatment procedures via radial artery access,and to reduce the occurrence of complications in patients.