Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-04-19 Cooperative journals: 《中国全科医学》
Abstract： Background Cerebral angiography is an important means for the assessment of cerebrovascular diseases. In recent years，distal transradial artery approach（dTRA）has gradually been used in cerebral angiography，but there are few reports on its effectiveness and safety. Objective To compare the effectiveness，patient safety and satisfaction between transradial artery approach（TRA）and dTRA in cerebral angiography. Methods Totally 135 patients who were hospitalized in Department of Neurosurgery，Wujin Hospital Affiliated to Jiangsu University from January 2020 to June 2022 for cerebral angiography were selected. They were divided into TRA group（n=72）and dTRA group（n=63）by the approach used in cerebral angiography，and the puncture time，duration of cerebral angiography，puncture success rate，X-ray exposure time，incidence of puncture site complications and serious cardiovascular and cerebrovascular events within three days after cerebral angiography，and levels of pain and satisfaction within 24 hours after cerebral angiography were compared between the groups. Results The mean puncture time in dTRA group was much longer than that of TRA group（P<0.05）. The mean duration of cerebral angiography was also significantly longer in dTRA group（P<0.05）. The puncture success rate in dTRA group was much lower（P<0.05）. There was no statistically significant difference between the groups in terms of average X-ray exposure time or the incidence of puncture site complications within three days after cerebral angiography（P>0.05）. No serious cardiovascular and cerebrovascular events occurred in both groups within three days after cerebral angiography. dTRA group had much lighter pain level and significantly higher satisfaction within 24 hours after cerebral angiography than TRA group（P<0.05）. Conclusion Compared with TRA，dTRA is also safe and effective for cerebral angiography，and helps to reduce patients’ pain level and improve their satisfaction，so dTRA can be used as one alternative approach for cerebral angiography，but it requires higher level of puncture skills and takes a longer time，so operators need to spend a certain amount of time on relevant learning and training.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-04-18 Cooperative journals: 《中国全科医学》
CAI Gaojun
SHI, Ganwei
LI, Feng
LI, Wenhua
XUE, Sheliang
XIAO, Jianqiang
GU, Jun
SONG, Yanbin
ZHANG, Liuyan
LU, Wei
GONG, Chun
Abstract： Percutaneous coronary diagnosis and intervention via distal transradial artery approach has become one of the hot research topics in the field of coronary angiography and intervention. Compared with transradial approach，the distal transradial artery approach has the advantages of higher patient comfort and fewer related complications；however，due to the tortuosity of radial artery and relatively small size of distal radial artery，there is a significant learning curve for distal transradial artery approach puncture. This paper analyzes and summarizes the common causes（mainly including patient factors and operational factors）and treatment strategies of distal transradial artery approach puncture failure based on the experience of more than 2000 cases，in order to provide a reference for improving the success rate of puncture and promoting the application of distal transradial artery approach.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-01-09 Cooperative journals: 《中国全科医学》
Abstract：
Background With China’s rapidly ageing population, the incidence of cerebrovascular disease is increasing year by year.Cerebral angiography plays an important role in the diagnosis of cerebrovascular diseases.With the development of technology and the change of patients' needs, cerebral angiography gradually changed from the femoral artery approach to the radial artery approach, making the patients have a shorter recovery time and higher satisfaction.Objective To explore the safety, effectiveness and patient satisfaction of the distal radial artery path in cerebral angiography.Methods 135 patients who were hospitalized in the neurosurgery department of Changzhou Wujin People's Hospital from January 2020 to June 2022 for cerebral angiography were selected as the research objects.There were 72 patients in the transradial artery group (TRA) and 63 patients in the distal transradial artery group (dTRA).Compare the puncture time,puncture success rate, operative time, receiving time, puncture point complications,serious cardiovascular and cerebrovascular events within 3 days after operation,pain degree and satisfaction of patients at the end of 24h after operation.Results There was no significant difference between the two groups in receiving time (P>0.05),puncture point complications (P>0.05),and serious cardiovascular and cerebrovascular events within 3 days after operation (P>0.05).The puncture success rate of TRA group was higher than dTRA group (100% vs 93.65%),which was statistically significant (P<0.05).Puncture time in TRA group was shorter than that in dTRA group(34.3±5.9minvs37.9±10.5min), which was statistically significant (P<0.05).The operation time in TRA group was shorter than dTRA group(34.3±5.9minvs37.9±10.5min), which was statistically significant (P<0.05).The degree of pain in dTRA group was less than TRA group,and satisfaction was higher than TRA group, which was statistically significant (P<0.05).Conclusion Cerebral angiography via distal radial artery approach is safe and effective,with high postoperative comfort, low pain and high satisfaction,whichcanbe used as an effective way for cerebral angiography.However,the distal radial artery puncture is difficult and takes a long time, which requires a certain amount of learning time.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-12-23 Cooperative journals: 《中国全科医学》
Abstract：
Coronary interventional diagnosis and treatment via the distal radial artery approach has become a research hotspot in the field of interventional approaches. Compared with the conventional radial artery approach, it has the advantages of higher patient comfort and fewer complications related to vascular access; however, due to the tortuous and relatively small radial artery, there is a significant learning curve for puncture. Based on the experience of our center, we introduce the common causes and treatment strategies of distal radial artery puncture failure, in order to help the interventionalists shorten the puncture time, improve the puncture success rate, and promote the further clinical application of the distal radial artery approach.
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