Best Practices for the Prevention of Radial Artery Occlusion After Transradial Diagnostic Angiography and Intervention An International Consensus Paper

被引：150

作者：

Bernat, Ivo ^{[1
,2
]}

Aminian, Adel ^{[3
]}

Pancholy, Samir ^{[4
]}

Mamas, Mamas ^{[5
]}

Gaudino, Mario ^{[6
]}

Nolan, James ^{[5
]}

Gilchrist, Ian C. ^{[7
]}

Saito, Shigeru ^{[8
]}

Hahalis, George N. ^{[9
]}

Ziakas, Antonio ^{[10
]}

Louvard, Yves ^{[11
]}

Montalescot, Gilles ^{[12
]}

Sgueglia, Gregory A. ^{[13
]}

van Leeuwen, Maarten A. H. ^{[14
]}

Babunashvili, Avtandil M. ^{[15
]}

Valgimigli, Marco ^{[16
]}

Rao, Sunil V. ^{[17
]}

Bertrand, Olivier F. ^{[18
]}

机构：

[1] Charles Univ Prague, Univ Hosp, Dept Cardiol, Plzen, Czech Republic

[2] Charles Univ Prague, Fac Med Pilsen, Plzen, Czech Republic

[3] Ctr Hosp Univ Charleroi, Dept Cardiol, Charleroi, Belgium

[4] Geisinger Commonwealth Sch Med, Dept Cardiol, Scranton, PA USA

[5] Keele Univ, Keele Cardiovasc Res Grp, Stoke On Trent, Staffs, England

[6] Weill Cornell Med, Dept Cardiothorac Surg, New York, NY USA

[7] Penn State Univ, Heart & Vasc Inst, Hershey, PA USA

[8] Shonan Kamakura Gen Hosp, Dept Cardiol, Kamakura, Kanagawa, Japan

[9] Patras Univ Hosp Rio, Dept Cardiol, Patras, Greece

[10] Aristotle Univ Thessaloniki, AHEPA Gen Hosp, Cardiol Dept 1, Thessaloniki, Greece

[11] Hop Jacques Cartier, Inst Cardiovasc Paris Sud, Massy, France

[12] Sorbonne Univ, Pitie Salpetriere Hosp, AP HP, ACTION Study Grp,Inst Cardiol, Paris, France

[13] St Eugenio Hosp, Div Cardiol, Rome, Italy

[14] Isala Heart Ctr, Dept Cardiol, Zwolle, Netherlands

[15] Ctr Endosurg & Lithotripsy, Dept Cardiovasc Surg, Moscow, Russia

[16] Bern Univ Hosp, Dept Cardiol, Bern, Switzerland

[17] Duke Clin Res Inst, Durham, NC USA

[18] Quebec Heart & Lung Inst, Quebec City, PQ, Canada

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2019年 / 12卷 / 22期

关键词：

hemostasis; radial artery occlusion; transradial; PERCUTANEOUS CORONARY INTERVENTION; PATENT HEMOSTASIS; GUIDING CATHETER; ACCESS; COMPRESSION; EXPERIENCE; REDUCE; SHEATH; SPASM; FLOW;

D O I：

10.1016/j.jcin.2019.07.043

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transradial access (TRA) is increasingly used worldwide for percutaneous interventional procedures and associated with lower bleeding and vascular complications than transfemoral artery access. Radial artery occlusion (RAO) is the most frequent post-procedural complication of TRA, restricting the use of the same radial artery for future procedures and as a conduit for coronary artery bypass graft. The authors review recent advances in the prevention of RAO following percutaneous TRA diagnostic or interventional procedures. Based on the available data, the authors provide easily applicable and effective recommendations to prevent periprocedural RAO and maximize the chances of access in case of repeat catheterization or coronary artery bypass grafting surgery. (C) 2019 Published by Elsevier on behalf of the American College of Cardiology Foundation.

引用

页码：2235 / 2246

页数：12

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