经皮桡动脉入路出血并发症包括穿刺部位出血和导管路径出血 在讨论经桡动脉路径穿刺的几个焦点问题中,出血是一个重点问题
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RIFLE (Radial Versus Femoral Randomized)
RCT with 1001 pts. with acute coronary syndrome undergoing
primary/rescue percutaneous coronary intervention
出血并发症发生率低 Lower rate of bleeding complication:
7.8% (桡动脉) vs. 12.2% (股动脉) p=0.026
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RIFLE-STEACS的结果清楚地显示了STEACS患者在桡动脉入路比股动脉入路方面的优势。这种显著性差异和高成功率应该是使用桡动脉入路治疗急性患者的主要原因。
Minimizing Adverse Haemorrhagic Events by TRansradial Access Site and Systemic Implementation of angioX (MATRIX)
Since 2007 radial access has grown 25% per year in the UK, accounting for > 65% of all PCI’s in 2012
经桡动脉介入放射学应用首次报告
pseudoaneurysm (n=1)
hematoma/bleeding (n=13)
radial artery occlusion (n=11): all asymptomatic
Conclusions: TRA was safe and well tolerated in a heterogeneous patient population across a range of peripheral vascular interventions. |