关键词: coronary artery bypass grafting (CABG) radial artery trans-radial access

Mesh : Coronary Artery Bypass Femoral Artery Humans Percutaneous Coronary Intervention Radial Artery / surgery Risk Factors Treatment Outcome

来  源:   DOI:10.1111/jocs.14868   PDF(Sci-hub)

Abstract:
Due to its increased safety and decrease in significant vascular complications and bleeding events, the use of the radial artery for percutaneous coronary intervention (PCI) is increasing. Transradial access (TRA), however, is not without consequence. TRA arteries when used for coronary artery bypass grafting (CABG) are associated with decreased graft patency rates. Here we comment on a case report in which a patient developed a clinically significant arteriovenous fistula following TRA treated with surgical ligation. We offer insights on the increased use of the radial artery in both PCI and CABG.
摘要:
由于其安全性提高,显著血管并发症和出血事件减少,桡动脉用于经皮冠状动脉介入治疗(PCI)的应用正在增加.经桡骨进入(TRA),然而,并非没有后果。用于冠状动脉旁路移植术(CABG)的TRA动脉与移植物通畅率降低有关。在这里,我们评论了一例病例报告,其中患者在接受TRA手术结扎治疗后出现了临床上有意义的动静脉瘘。我们提供了有关PCI和CABG中桡动脉使用增加的见解。
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