Impact of Ischemic Preconditioning Preceding Transradial Access for Coronary Angiography on Preventing Postoperative Complications-A Randomized Controlled Trial.

IF 2.1 3区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Catheterization and Cardiovascular Interventions Pub Date : 2025-05-20 DOI:10.1002/ccd.31592

Linhui He, Weiwei Zhang, Yingying Huang, Liao He, Chunlan Ma, Hao Luo, Yali Qu, Chunmei Xu, Yuting Zeng, Juan Zhang

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引用次数: 0

Abstract

Background: Transradial access (TRA) has been endorsed as a Class 1a recommendation for coronary angiography (CAG) or percutaneous coronary intervention (PCI). However, some patients suffer from postoperative complications such as pain, swelling, bleeding and bruising.

Aims: To investigate the effect of ischemic preconditioning with the compression tourniquet preceding TRA for CAG or PCI on preventing postoperative complications.

Methods: A total of 1227 inpatients scheduled for selective transradial CAG or PCI from September 2021 to March 2022 at the Department of Cardiology, Daping Hospital, were enrolled. Patients were randomly divided into a control group (582 cases) and an ischemic preconditioning group (645 cases). The control group received routine preoperative education and postoperative care, while the ischemic preconditioning group underwent additional radial artery ischemic preconditioning training before operation. Patients were evaluated for swelling (palm/finger and arm), pain, and bleeding at 4 h, as well as bruising severity was assessed at 24 h postoperatively.

Results: The swelling, pain, bleeding at 4 h and bruising severity at 24 h in the ischemic preconditioning group were significantly alleviated compared to those in the control group postoperatively (p < 0.05).

Conclusion: Ischemic preconditioning with the compression tourniquet can reduce postoperative complications in the limb of patients undergoing transradial CAG or PCI.

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经桡动脉冠状动脉造影前缺血预处理对预防术后并发症的影响——一项随机对照试验。

背景：经桡动脉通路（TRA）已被认可为1a级推荐的冠状动脉造影（CAG）或经皮冠状动脉介入治疗（PCI）。然而，一些患者会出现术后并发症，如疼痛、肿胀、出血和瘀伤。目的：探讨CAG或PCI行TRA前加压止血带缺血预处理对预防术后并发症的作用。方法：选取大坪医院心内科2021年9月至2022年3月计划行选择性经桡动脉CAG或PCI的住院患者1227例。随机分为对照组（582例）和缺血预处理组（645例）。对照组接受常规术前教育和术后护理，缺血预处理组术前额外进行桡动脉缺血预处理训练。在术后4小时评估患者的肿胀（手掌/手指和手臂）、疼痛和出血，并在术后24小时评估瘀伤严重程度。结果：与对照组相比，缺血预处理组术后4 h肿胀、疼痛、出血及24 h瘀伤严重程度均明显减轻。(p)结论：加压止血带缺血预处理可减少经桡骨CAG或PCI患者术后肢体并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Catheterization and Cardiovascular Interventions 医学-心血管系统

CiteScore

5.40

自引率

8.70%

发文量

419

审稿时长

2 months

期刊介绍： Catheterization and Cardiovascular Interventions is an international journal covering the broad field of cardiovascular diseases. Subject material includes basic and clinical information that is derived from or related to invasive and interventional coronary or peripheral vascular techniques. The journal focuses on material that will be of immediate practical value to physicians providing patient care in the clinical laboratory setting. To accomplish this, the journal publishes Preliminary Reports and Work In Progress articles that complement the traditional Original Studies, Case Reports, and Comprehensive Reviews. Perspective and insight concerning controversial subjects and evolving technologies are provided regularly through Editorial Commentaries furnished by members of the Editorial Board and other experts. Articles are subject to double-blind peer review and complete editorial evaluation prior to any decision regarding acceptability.