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Best Practices for the Prevention of Radial Artery Occlusion After Transradial Diagnostic Angiography and Intervention: An International Consensus Paper.
JACC: Cardiovascular Interventions ( IF 11.3 ) Pub Date : 2019-11-18 , DOI: 10.1016/j.jcin.2019.07.043
Ivo Bernat 1 , Adel Aminian 2 , Samir Pancholy 3 , Mamas Mamas 4 , Mario Gaudino 5 , James Nolan 4 , Ian C Gilchrist 6 , Shigeru Saito 7 , George N Hahalis 8 , Antonio Ziakas 9 , Yves Louvard 10 , Gilles Montalescot 11 , Gregory A Sgueglia 12 , Maarten A H van Leeuwen 13 , Avtandil M Babunashvili 14 , Marco Valgimigli 15 , Sunil V Rao 16 , Olivier F Bertrand 17 ,
Affiliation  

Transradial access (TRA) is increasingly used worldwide for percutaneous interventional procedures and associated with lower bleeding and vascular complications than transfemoral artery access. Radial artery occlusion (RAO) is the most frequent post-procedural complication of TRA, restricting the use of the same radial artery for future procedures and as a conduit for coronary artery bypass graft. The authors review recent advances in the prevention of RAO following percutaneous TRA diagnostic or interventional procedures. Based on the available data, the authors provide easily applicable and effective recommendations to prevent periprocedural RAO and maximize the chances of access in case of repeat catheterization or coronary artery bypass grafting surgery.

中文翻译:

经放射诊断性血管造影和干预后预防Rad动脉阻塞的最佳做法:国际共识文件。

经worldwide动脉通路(TRA)在世界范围内越来越多地用于经皮介入手术,并且与经股动脉通路相比,出血和血管并发症的发生率更低。ial动脉闭塞(RAO)是TRA手术后最常见的并发症,它限制了在以后的手术中使用相同的artery动脉以及将其用作冠状动脉旁路移植术的导管。作者回顾了经皮TRA诊断或介入治疗后预防RAO的最新进展。根据现有数据,作者提供了易于应用和有效的建议,以防止在进行重复导管插入术或冠状动脉搭桥术时避免围手术期发生RAO,并最大程度地提高手术机会。
更新日期:2019-11-18
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