Distal Radial Artery Access: Lub neej yav tom ntej ntawm Kev cuam tshuam plawv
Lub ntsiab lus nkag rau kev cuam tshuam coronary tau hloov pauv ntau xyoo dhau los, los ntawm cov hlab ntsha femoral mus rau cov hlab ntsha radial mus rau cov hlab ntsha distal. Distal radius access, thawj zaug siv rau
Hauv xyoo 2017, nws tseem tsis tau pom zoo los ntawm cov lus qhia, qhia txog kev ua tiav ntau dua thiab muaj teeb meem tsawg dua li lwm qhov. Yog li nws tuaj yeem yog yav tom ntej ntawm kev cuam tshuam ntawm cov hlab plawv.
Tau ntau xyoo dhau los, ntau qhov kev hloov pauv tau tshwm sim hauv kev kho mob plawv ischemic; Ib qho ntawm cov kev hloov pauv no yog txoj hauv kev nkag mus rau cov hlab ntsha rau ob qho tib si coronary angiography thiab percutaneous coronary interventions.
Kev nkag tau hloov pauv los ntawm transfemoral mus rau transradial mus kom ze (TRA), vim nws muaj qhov tsis zoo los ntshav tsawg,
txo qis hauv tsev kho mob tus nqi tuag, tsawg dua kev nkag mus rau qhov chaw teeb meem, thiab raug nqi zoo li piv rau txoj hauv kev transfemoral. Hauv xyoo 2015, European Society of Cardiology cov lus qhia rau kev tswj cov mob coronary syndrome tau muab cov chav kawm kuv pom zoo kom siv TRA raws li txoj kev nyiam ntawm kev nkag mus rau kev cuam tshuam percutaneous coronary tsis hais txog kev nthuav qhia kho mob.
Txawm li cas los xij, kev siv TRA tsis pub dawb txwv; Muaj ntau qhov teeb meem tau cuam tshuam nrog TRA vim lub cheeb me me, xws li radial artery occlusion (RAO) (Kev tshaj tawm cov xwm txheej ntawm RAO yog qhov sib txawv ntawm qhov ntau ntawm 2 feem pua -10 feem pua , thiab ib qho kev tshuaj ntsuam xyuas los ntawm Rashid pom tias RAO tshwm sim hauv 24 teev yog 7.7 feem pua), radial artery spasm, radial arterial perforation, radial artery pseudoaneurysm, arteriovenous fistula, los ntshav, paj hlwb puas, thiab complex regional mob syndrome.