Objectives: To evaluate the feasibility, efficiency, and safety of the transradial approach(TRA) for cerebral angiography versus the transfemoral approach(TFA) in patients.Methods: In this trial, 2314 patients underwe...Objectives: To evaluate the feasibility, efficiency, and safety of the transradial approach(TRA) for cerebral angiography versus the transfemoral approach(TFA) in patients.Methods: In this trial, 2314 patients underwent cerebral angiography, with 1085 patients undergoing the procedure via radial access and 1229 via transfemoral access. The arterial puncture time, operation success rate,oppression time on puncture points, local vascular complication incidence(including bleeding, hematoma, and pseudoaneurysm), deep venous thrombosis of lower limbs(DVT), and bradycardia/hypotension were observed and compared between the two groups.Results: Of the patients who underwent cerebral angiography via radial access, the procedure was successful in1070 patients;compared with 1219 patients with transfemoral access, there was no significant difference(P > 0.05) in the success rate or the arterial puncture time. Radial access patients were less likely to present with oppression time on puncture points, local vascular complications, DVT, and bradycardia/hypotension compared with femoral access patients.Conclusions: For patients undergoing cerebral angiography, radial and femoral approaches are both safe and effective. However, the lower rate of local vascular complications may be a reason to use the radial approach.展开更多
本研究探讨经桡动脉入路(Transradial Approach, TRA)右侧大脑中动脉支架成形术的可行性、安全性和手术技巧。实验按照随机数表法将符合大脑中动脉支架成形术纳入标准的急性脑梗死患者分为观察组和对照组。观察组给予经TRA右侧大脑中动...本研究探讨经桡动脉入路(Transradial Approach, TRA)右侧大脑中动脉支架成形术的可行性、安全性和手术技巧。实验按照随机数表法将符合大脑中动脉支架成形术纳入标准的急性脑梗死患者分为观察组和对照组。观察组给予经TRA右侧大脑中动脉支架成形术,对照组给予经股动脉入路(Transfemoral Approach, TFA)右侧大脑中动脉支架成形术,对比分析2组患者导引导管到位情况、支架置入成功率、路径差异相关并发症、手术操作时间、射线投射时间、术后住院时间和手术费用。结果显示,观察组导引导管到位成功率为93.10%(27/29),对照组导引导管到位成功率100%,2组患者支架置入成功率均较高,路径差异相关并发症较低,手术操作时间、射线投射时间和手术费用相似,差异无统计学意义。基于主动脉弓型的亚组分析,观察组Ⅲ型主动脉弓患者手术操作时间(min)、射线投射时间(min)均短于对照组(73.8±15.3 vs 89.5±14.4;22.1±5.5 vs 28.4±8.3),差异有统计学意义(t=0.192,P=0.000;t=0.117,P=0.000)。与对照组相比,观察组患者术后住院天数明显减少(2.8±0.6 vs 4.2±0.8),差异有统计学意义(t=0.230,P=0.002)。因此,经TRA右侧大脑中动脉支架成形术成功率高,对于Ⅲ型主动脉弓患者采用该项方案能减少手术时间和射线投射时间,且术后住院天数少,可行性好。展开更多
文摘Objectives: To evaluate the feasibility, efficiency, and safety of the transradial approach(TRA) for cerebral angiography versus the transfemoral approach(TFA) in patients.Methods: In this trial, 2314 patients underwent cerebral angiography, with 1085 patients undergoing the procedure via radial access and 1229 via transfemoral access. The arterial puncture time, operation success rate,oppression time on puncture points, local vascular complication incidence(including bleeding, hematoma, and pseudoaneurysm), deep venous thrombosis of lower limbs(DVT), and bradycardia/hypotension were observed and compared between the two groups.Results: Of the patients who underwent cerebral angiography via radial access, the procedure was successful in1070 patients;compared with 1219 patients with transfemoral access, there was no significant difference(P > 0.05) in the success rate or the arterial puncture time. Radial access patients were less likely to present with oppression time on puncture points, local vascular complications, DVT, and bradycardia/hypotension compared with femoral access patients.Conclusions: For patients undergoing cerebral angiography, radial and femoral approaches are both safe and effective. However, the lower rate of local vascular complications may be a reason to use the radial approach.
文摘本研究探讨经桡动脉入路(Transradial Approach, TRA)右侧大脑中动脉支架成形术的可行性、安全性和手术技巧。实验按照随机数表法将符合大脑中动脉支架成形术纳入标准的急性脑梗死患者分为观察组和对照组。观察组给予经TRA右侧大脑中动脉支架成形术,对照组给予经股动脉入路(Transfemoral Approach, TFA)右侧大脑中动脉支架成形术,对比分析2组患者导引导管到位情况、支架置入成功率、路径差异相关并发症、手术操作时间、射线投射时间、术后住院时间和手术费用。结果显示,观察组导引导管到位成功率为93.10%(27/29),对照组导引导管到位成功率100%,2组患者支架置入成功率均较高,路径差异相关并发症较低,手术操作时间、射线投射时间和手术费用相似,差异无统计学意义。基于主动脉弓型的亚组分析,观察组Ⅲ型主动脉弓患者手术操作时间(min)、射线投射时间(min)均短于对照组(73.8±15.3 vs 89.5±14.4;22.1±5.5 vs 28.4±8.3),差异有统计学意义(t=0.192,P=0.000;t=0.117,P=0.000)。与对照组相比,观察组患者术后住院天数明显减少(2.8±0.6 vs 4.2±0.8),差异有统计学意义(t=0.230,P=0.002)。因此,经TRA右侧大脑中动脉支架成形术成功率高,对于Ⅲ型主动脉弓患者采用该项方案能减少手术时间和射线投射时间,且术后住院天数少,可行性好。
