PDF(Pubmed)
Abstract：
Τransradial artery access has recently gained widespread acceptance as the preferred approach for coronary angiography and interventions, due to its lower incidence of bleeding and vascular complications compared to transfemoral access. However, thrombotic occlusion of the radial artery has emerged as the most common complication of this method, impeding its use in future interventions, and in the creation of arteriovenous fistulae for hemodialysis patients, or as a graft for coronary artery bypasses grafting. In this comprehensive review, we delve into the anatomy of the radial artery, the pathophysiology and diagnosis of radial artery occlusion, the identification of potential risk factors and, finally, prevention and treatment strategies. We acknowledge that distal transradial access provides an effective alternative for coronary angiography and catheterizations, with a reduced incidence of radial artery occlusion.
摘要：
桡动脉入路最近已被广泛接受为冠状动脉造影和介入治疗的首选方法。由于其出血和血管并发症的发生率低于经股动脉入路。然而,桡动脉血栓性闭塞已成为该方法最常见的并发症，阻碍其在未来干预中的使用，在为血液透析患者创建动静脉瘘的过程中，或者作为冠状动脉旁路移植术的移植物。在这次全面审查中，我们深入研究桡动脉的解剖结构,桡动脉闭塞的病理生理学和诊断，潜在风险因素的识别，最后,预防和治疗策略。我们承认远端经桡动脉途径为冠状动脉造影和导管插入术提供了有效的替代方案。桡动脉闭塞的发生率降低。
