Efficacy and Safety of Coronary Intervention via Distal Transradial Access (dTRA) in Patients with Low Body Mass Index

IF 1.6 3区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of interventional cardiology Pub Date : 2022-08-24 DOI:10.1155/2022/1901139

La-Mei Li, Liu-Yan Zhang, Hao-Min Huang, Tao Chen, Feng Li, Gan-Wei Shi, Wen-Hua Li, Jian-Qiang Xiao, Chun Gong, She-Liang Xue, Bo Xu, Jun Gu, Yan-Bin Song, Dan-Dan Shen, Rong-Rong Ji, Gao-Jun Cai

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Abstract

The study aimed to investigate the efficacy and safety of coronary intervention via distal transradial access (dTRA) in patients with low body mass index (BMI). A total of 67 patients with low BMI who underwent coronary intervention, comprising 29 patients via dTRA and 38 patients via conventional transradial access (cTRA), were retrospectively included. There was no significant difference in the puncture success rate between the two groups (dTRA 96.6%, cTRA 97.4%, P = 0.846). Compared with the cTRA group, the success rate of one-needle puncture in the dTRA group was lower (51.7% vs. 81.6%, P = 0.020). The compression haemostasis time in the dTRA group was shorter than that in the cTRA group (P < 0.001). However, the incidence of radial artery occlusion was lower in the dTRA group than in the cTRA group (4.0% vs. 33.3%, P = 0.007). In conclusion, coronary intervention via dTRA was safe and effective in patients with low BMI.

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低体重指数患者经桡动脉远端介入治疗(dTRA)的疗效和安全性。

本研究旨在探讨低体重指数(BMI)患者经桡动脉远端介入治疗(dTRA)的有效性和安全性。回顾性分析了67例接受冠状动脉介入治疗的低BMI患者，其中29例经dTRA治疗，38例经常规经桡动脉介入治疗。两组穿刺成功率比较差异无统计学意义(dTRA 96.6%， cTRA 97.4%， P=0.846)。与cTRA组相比，dTRA组单针穿刺成功率较低(51.7%比81.6%，P=0.020)。dTRA组压缩止血时间明显短于cTRA组(P < 0.001)。然而，dTRA组桡动脉闭塞发生率低于cTRA组(4.0% vs. 33.3%， P=0.007)。结论:低BMI患者行dTRA冠脉介入治疗是安全有效的。

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

Journal of interventional cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Interventional Cardiology is a peer-reviewed, Open Access journal that provides a forum for cardiologists determined to stay current in the diagnosis, investigation, and management of patients with cardiovascular disease and its associated complications. The journal publishes original research articles, review articles, and clinical studies focusing on new procedures and techniques in all major subject areas in the field, including: Acute coronary syndrome Coronary disease Congenital heart diseases Myocardial infarction Peripheral arterial disease Valvular heart disease Cardiac hemodynamics and physiology Haemostasis and thrombosis