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Chinese expert consensus on transradial access in percutaneous peripheral interventions

Journal of Interventional Medicine 2023年第4期6卷 145-151页

作者： Minjie Yang Sen Jiang Yanli Wang Xiaoxi Meng Liwen Guo Wen Zhang Xin Zhou Zhiping Yan Jiarui Li Weihua Dong Department of Interventional Radiology Zhongshan Hospital of Fudan University180 Fenglin RoadXuhui DistrictShanghaiChina Department of Radiology Shanghai Pulmonary Hospital507 Zhengmin RoadYangpu DistrictShanghaiChina Department of Interventional Radiology The First Affiliated Hospital of Zhengzhou UniversityNo.1 Jianshe Dong RoadErQi DistrictZhengzhouChina Department of Interventional Radiology Shanghai Changzheng Hospital415 Feng Yang RoadHuangpu DistrictShanghaiChina Department of Interventional Radiology Zhejiang Cancer HospitalNo.1 East Banshan RoadGongshu DistrictHangzhouChina Department of Interventional Radiology The First Hospital of Jilin University71 Xinmin StreetChaoyang DistrictChangchunChina

Transradial access(TRA)is a safe and comfortable approach and the preferred access for percutaneous coronary ***,TRA is not widely used for peripheral ***,there is a lack of data on patient selection,appropriate medical devices,complication prevention,and TRA ***,the Chinese Society of Interventional Oncology of the China Anti-Cancer Association organized nationwide experts to establish a Working Group of China Expert Consensus on TRA in percutaneous peripheral interventions in 2022,and jointly formulated this consensus to better promote the application of TRA in peripheral interventions to guide clinicians on patient selection,technical recommendations,and physician *** consensus mainly focuses on the current situation,advantages and limitations of TRA in peripheral interventions,anatomical characteristics of the radial artery,patient selection,technical aspects,prevention and management of complications,radiation dose,and learning curve.A consensus was reached through a literature evaluation and by referring to the opinions of the expert group.

关键词： Transradial access transfemoral access Peripheral intervention

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Hand dysfunction after transradial artery catheterization for coronary procedures

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World Journal of Cardiology 2017年第7期9卷 609-619页

作者： Muhammad Ayyaz Ul Haq Muhammad Rashid Chun Shing Kwok Chun Wai Wong James Nolan Mamas A Mamas Keele Cardiovascular Research Group Keele University University Hospital of North Midlands

AIM To sythesize the available literature on hand dysfunction after transradial *** We searched MEDLINE and EMBASE. The search results were reviewed by two independent judicators for studies that met the inclusion criteria and relevant reviews. We included studies that evaluated any transradial procedure and evaluated hand function outcomes post transradial procedure. There were no restrictions based on sample size. There was no restriction on method of assessing hand function which included disability, nerve damage, motor or sensory loss. There was no restriction based on language of study. Data was extracted, these results were narratively *** Out of 555 total studies 13 studies were finally included in review. A total of 3815 participants with mean age of 62.5 years were included in this review. A variety of methods were used to assess sensory and motor dysfunction of hand. Out of 13 studies included, only 3 studies reported nerve damage with a combined incidence of 0.16%, 5 studies reported sensory loss, tingling and numbness with a pooled incidence of 1.52%. Pain after transradial access was the most common form of hand dysfunction(6.67%) reported in 3 studies. The incidence of hand dysfunction defined as disability, grip strength change, power loss or any other hand complication was incredibly low at 0.26%. Although radial artery occlusion was not our primary end point for this review, it was observed in 2.41% of the participants in total of five studies *** Hand dysfunction may occur post transradial catheterisation and majority of symptoms resolve without any clinical sequel.

关键词： Transradial access transfemoral access Hand dysfunction

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