晚期慢性肾病患者经桡动脉远端入路的疗效。

IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Ramya C Mosarla, Hamza Ahmed, Shaline D Rao, Bernard S Kadosh, Jennifer A Cruz, Randal I Goldberg, Tajinderpal Saraon, Bruce E Gelb, Aprajita Mattoo, Sunil V Rao, Sripal Bangalore
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引用次数: 0

摘要

桡动脉闭塞(RAO)是经桡动脉入路的一种并发症,在晚期慢性肾脏病(CKD)患者中的发病率为 4.0% 至 9.1%,可能导致无法使用经桡动脉入路建立动静脉瘘。经桡动脉远端入路(dTRA)与 TRA 相比,RAO 发生率较低,但之前的研究排除了晚期 CKD 患者。这是一项针对晚期 CKD 患者的单中心研究,这些患者在 2019 年 1 月 1 日至 2022 年 5 月 12 日期间接受了 dTRA 冠状动脉手术,并在随访中通过反向 Barbeau 测试或动脉重复入路对桡动脉通畅性进行了回顾性评估。在 71 名患者中,66% 正在进行血液透析,其余为 CKD 3 至 5。所有患者都在超声引导下接受了充分的解痉治疗和止血。随访时,100% 的患者桡动脉近端通畅。我们的数据表明,dTRA 对晚期 CKD 患者是安全的,并能保留桡动脉的通畅性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes with distal transradial access in patients with advanced chronic kidney disease.
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来源期刊
Journal of Invasive Cardiology
Journal of Invasive Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.90
自引率
6.70%
发文量
214
审稿时长
3-8 weeks
期刊介绍: The Journal of Invasive Cardiology will consider for publication suitable articles on topics pertaining to the invasive treatment of patients with cardiovascular disease.
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