Abstract：
Large-scale multicenter studies demonstrating the safety and effectiveness of transradial iliac artery stenting are lacking. We evaluated the data from a multicenter database in Japan. Transradial iliac artery stenting was performed on 115 lesions in 105 patients. The approach site was determined at the discretion of the operator. Patients with scheduled multiple sheath insertions for the bidirectional approach were excluded. Clinical data were retrospectively analyzed. The average age of this cohort was 71.1 ± 8.3 years. Eighty-six patients (81.9%) were male. Diabetes mellitus, hypertension, dyslipidemia, and smoking habit were present in 39 (37.1%), 84 (80.0%), 69 (65.7%), and 78 patients (74.3%), respectively. Rutherford classifications 1, 2, 3, 4, and 5 comprised 40 (34.8%), 42 (36.5%), 28 (24.3%), 3 (2.6%), and 2 (1.7%) lesions, respectively, while Trans-Atlantic Inter-Society Consensus II classifications A, B, C, and D comprised 74 (64.3%), 21 (18.3%), 15 (13.0%), and 5 (4.3%), respectively. Twenty-seven lesions (23.5%) had chronic total occlusion. All lesions were successfully treated with 141 stents. Four patients (3.8%) required additional puncture of the common femoral artery for successful stent implantation. The ankle-brachial index significantly improved from 0.65 ± 0.17 to 0.95 ± 0.15 (P < 0.0001). None of the patients experienced any procedural or access site-related complications. Asymptomatic radial artery occlusion was observed in three cases (2.9%) after the procedure. There were no target lesion revascularizations or complications at 1 month. Compared to the traditional transfemoral approach, transradial iliac artery stenting is safe and feasible without any specific complications in carefully selected patients.
摘要：
缺乏证明经桡动脉支架置入术安全性和有效性的大规模多中心研究。我们评估了来自日本多中心数据库的数据。对105例患者的115个病灶进行了经桡动脉支架置入术。进场地点由操作员自行决定。排除了预定的用于双向入路的多个鞘管插入的患者。对其临床资料进行回顾性分析。该队列的平均年龄为71.1±8.3岁。86例患者（81.9%）为男性。糖尿病,高血压,血脂异常,39例(37.1%)存在吸烟习惯，84（80.0%），69（65.7%），78例（74.3%），分别。卢瑟福分类1、2、3、4和5包括40(34.8%)，42（36.5%），28（24.3%），3（2.6%），和2（1.7％）病变，分别,而跨大西洋社会间共识II分类A，B,C,D包括74人(64.3%)，21（18.3%），15（13.0%），和5（4.3％），分别。27个病变（23.5％）患有慢性完全闭塞。所有病变均用141个支架成功治疗。四名患者（3.8％）需要额外穿刺股动脉以成功植入支架。踝臂指数从0.65±0.17明显改善为0.95±0.15(P<0.0001)。没有患者经历任何手术或进入部位相关的并发症。术后3例(2.9%)出现无症状桡动脉闭塞。1个月时无靶病变血运重建或并发症。与传统的经股动脉入路相比,经桡动脉支架置入术是安全可行的,在精心挑选的患者中没有任何特定的并发症.
