Mei Zhang, Yi Hang Shi, Ji Min Qiao, Ying Qian Zhou, Huan Wang, Wen Xin Fang
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The primary endpoint was the success rate of one-time puncture and the success rate of total puncture. Secondary endpoints included puncture frequency of > 3 times, puncture time, pain, puncture site hematoma, puncture site bruise, and patients' satisfaction.</p><p><strong>Results: </strong>In total, 548 patients were included, including 325 in the non-hyperperfusion group and 223 in the hyperperfusion group. The hyperperfusion group exhibited a significantly higher success rate of one-time puncture (63.4% vs. 83.4%, P< 0.001) and success rate of total puncture (82.5% vs. 94.6%, P < 0.001) compared to the non-hyperperfusion group. Additionally, the hyperperfusion group experienced a significantly reduced number of patients with puncture frequency > 3 times (26.2% vs. 9.9%, P < 0.001) and puncture time (48.59 ± 7.83 s vs. 26.43 ± 6.44 s, P < 0.001). This approach also effectively decreased the risk of puncture site hematoma (2.2% vs. 0.0%, P = 0.045), arm puncture place bruise (5.5% vs. 0.4%, P<0.001), and pain (3.0 (3.0, 4.0) vs. 2.0 (1.0, 2.0), P <0.001) and improved patients' satisfaction after adopting the radial artery hyperinfusion method.</p><p><strong>Conclusions: </strong>Radial artery hyperperfusion improved the success rate of puncture for radial artery blood specimen collection in patients with acute heart failure, reduced puncture complications, and improved patients' satisfaction.</p>","PeriodicalId":9424,"journal":{"name":"Cardiology Research","volume":"16 4","pages":"338-345"},"PeriodicalIF":1.4000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339262/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of Hyperperfusion on Successful Collection of Arterial Blood Gas Specimens in Patients With Acute Heart Failure.\",\"authors\":\"Mei Zhang, Yi Hang Shi, Ji Min Qiao, Ying Qian Zhou, Huan Wang, Wen Xin Fang\",\"doi\":\"10.14740/cr2076\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This study aimed to explore the effect of radial artery flow hyperperfusion on the successful collection of radial artery blood gas specimens in patients with acute heart failure.</p><p><strong>Methods: </strong>From February 2023 to December 2024, 548 patients with acute heart failure in the database of the emergency rescue room of our hospital were divided into two groups: non-hyperperfusion group and hyperperfusion group. In the hyperperfusion group, arterial blood gas was collected using the radial artery hyperinfusion method (improving radial artery perfusion by blocking arteries other than the radial artery in the forearm using a customized sphygmomanometer with a double-airbag hollow cuff). The primary endpoint was the success rate of one-time puncture and the success rate of total puncture. Secondary endpoints included puncture frequency of > 3 times, puncture time, pain, puncture site hematoma, puncture site bruise, and patients' satisfaction.</p><p><strong>Results: </strong>In total, 548 patients were included, including 325 in the non-hyperperfusion group and 223 in the hyperperfusion group. The hyperperfusion group exhibited a significantly higher success rate of one-time puncture (63.4% vs. 83.4%, P< 0.001) and success rate of total puncture (82.5% vs. 94.6%, P < 0.001) compared to the non-hyperperfusion group. Additionally, the hyperperfusion group experienced a significantly reduced number of patients with puncture frequency > 3 times (26.2% vs. 9.9%, P < 0.001) and puncture time (48.59 ± 7.83 s vs. 26.43 ± 6.44 s, P < 0.001). 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引用次数: 0
摘要
背景：本研究旨在探讨急性心力衰竭患者桡动脉血流高灌注对桡动脉血气标本成功采集的影响。方法：选取2023年2月~ 2024年12月我院急诊抢救室数据库中548例急性心力衰竭患者，分为非高灌注组和高灌注组。高灌注组采用桡动脉高灌注法（采用特制双气囊空心袖带血压计阻断前臂桡动脉以外的动脉，改善桡动脉灌注）采集动脉血气。主要终点为一次性穿刺成功率和全穿刺成功率。次要终点包括穿刺频次bb0.3次、穿刺时间、疼痛、穿刺部位血肿、穿刺部位瘀伤、患者满意度。结果：共纳入548例患者，其中非高灌注组325例，高灌注组223例。超灌注组一次性穿刺成功率（63.4%比83.4%，P< 0.001）和总穿刺成功率（82.5%比94.6%，P< 0.001）均显著高于非超灌注组。此外，高灌注组穿刺频率bbb3次（26.2% vs. 9.9%, P < 0.001）和穿刺时间（48.59±7.83 s vs. 26.43±6.44 s, P < 0.001）显著减少。该入路还能有效降低穿刺部位血肿（2.2% vs. 0.0%, P = 0.045）、手臂穿刺部位瘀伤（5.5% vs. 0.4%）的风险。结论：桡动脉高灌注可提高急性心力衰竭患者桡动脉采血穿刺成功率，减少穿刺并发症，提高患者满意度。
Effect of Hyperperfusion on Successful Collection of Arterial Blood Gas Specimens in Patients With Acute Heart Failure.
Background: This study aimed to explore the effect of radial artery flow hyperperfusion on the successful collection of radial artery blood gas specimens in patients with acute heart failure.
Methods: From February 2023 to December 2024, 548 patients with acute heart failure in the database of the emergency rescue room of our hospital were divided into two groups: non-hyperperfusion group and hyperperfusion group. In the hyperperfusion group, arterial blood gas was collected using the radial artery hyperinfusion method (improving radial artery perfusion by blocking arteries other than the radial artery in the forearm using a customized sphygmomanometer with a double-airbag hollow cuff). The primary endpoint was the success rate of one-time puncture and the success rate of total puncture. Secondary endpoints included puncture frequency of > 3 times, puncture time, pain, puncture site hematoma, puncture site bruise, and patients' satisfaction.
Results: In total, 548 patients were included, including 325 in the non-hyperperfusion group and 223 in the hyperperfusion group. The hyperperfusion group exhibited a significantly higher success rate of one-time puncture (63.4% vs. 83.4%, P< 0.001) and success rate of total puncture (82.5% vs. 94.6%, P < 0.001) compared to the non-hyperperfusion group. Additionally, the hyperperfusion group experienced a significantly reduced number of patients with puncture frequency > 3 times (26.2% vs. 9.9%, P < 0.001) and puncture time (48.59 ± 7.83 s vs. 26.43 ± 6.44 s, P < 0.001). This approach also effectively decreased the risk of puncture site hematoma (2.2% vs. 0.0%, P = 0.045), arm puncture place bruise (5.5% vs. 0.4%, P<0.001), and pain (3.0 (3.0, 4.0) vs. 2.0 (1.0, 2.0), P <0.001) and improved patients' satisfaction after adopting the radial artery hyperinfusion method.
Conclusions: Radial artery hyperperfusion improved the success rate of puncture for radial artery blood specimen collection in patients with acute heart failure, reduced puncture complications, and improved patients' satisfaction.
期刊介绍：
Cardiology Research is an open access, peer-reviewed, international journal. All submissions relating to basic research and clinical practice of cardiology and cardiovascular medicine are in this journal''s scope. This journal focuses on publishing original research and observations in all cardiovascular medicine aspects. Manuscript types include original article, review, case report, short communication, book review, letter to the editor.
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