An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography and Intervention in Acute Coronary Syndrome A Scientific Statement From the American Heart Association

被引：419

作者：

Mason, Peter J. ^{[1
]}

Shah, Binita ^{[2
]}

Tamis-Holland, Jacqueline E. ^{[9
]}

Bittl, John A. ^{[3
]}

Cohen, Mauricio G. ^{[4
]}

Safirstein, Jordan ^{[8
]}

Drachman, Douglas E. ^{[5
]}

Valle, Javier A. ^{[10
]}

Rhodes, Denise ^{[7
]}

Gilchrist, Ian C. ^{[6
]}

机构：

[1] Med Coll Wisconsin, Milwaukee, WI 53226 USA

[2] NYU, Sch Med, New York, NY 10003 USA

[3] Munroe Heart & Vasc Inst, Monroe, LA USA

[4] Univ Miami, Miller Sch Med, Univ Miami Hosp, Coral Gables, FL 33124 USA

[5] Massachusetts Gen Hosp, Boston, MA 02114 USA

[6] MS Hershey Med Ctr Heart & Vasc Inst, Hershey, PA USA

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

[8] Morristown Med Ctr, Morristown, NJ USA

[9] Mt Sinai St Lukes Hosp, New York, NY USA

[10] VA Eastern Colorado Hlth Care Syst, Aurora, CO USA

来源：

CIRCULATION-CARDIOVASCULAR INTERVENTIONS | 2018年 / 11卷 / 09期

关键词：

AHA Scientific Statements; acute coronary syndrome; coronary angiography; percutaneous coronary intervention; radial artery; ELEVATION MYOCARDIAL-INFARCTION; SAME-DAY DISCHARGE; ACUTE KIDNEY INJURY; QUALITY-OF-LIFE; FEMORAL ACCESS; CARDIAC-CATHETERIZATION; TRANSFEMORAL APPROACH; ULNAR ARTERY; TRANSULNAR CATHETERIZATION; CARDIOVASCULAR ANGIOGRAPHY;

D O I：

10.1161/HCV.0000000000000035

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transradial artery access for percutaneous coronary intervention is associated with lower bleeding and vascular complications than transfemoral artery access, especially in patients with acute coronary syndromes. A growing body of evidence supports adoption of transradial artery access to improve acute coronary syndrome-related outcomes, to improve healthcare quality, and to reduce cost. The purpose of this scientific statement is to propose and support a radial-first strategy in the United States for patients with acute coronary syndromes. This document also provides an update to previously published statements on transradial artery access technique and best practices, particularly as they relate to the management of patients with acute coronary syndromes.

引用

页数：21

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