高级检索
周馨, 杨敏捷, 孟小茜, 等. 2022年经桡动脉入路外周介入临床应用调查[J]. 中国临床医学, 2024, 31(3): 440-444. DOI: 10.12025/j.issn.1008-6358.2024.20240269
引用本文: 周馨, 杨敏捷, 孟小茜, 等. 2022年经桡动脉入路外周介入临床应用调查[J]. 中国临床医学, 2024, 31(3): 440-444. DOI: 10.12025/j.issn.1008-6358.2024.20240269
ZHOU Xin, YANG Minjie, MENG Xiaoqian, et al. A survey on clinical applications of transradial access for peripheral interventions in 2022[J]. Chinese Journal of Clinical Medicine, 2024, 31(3): 440-444. DOI: 10.12025/j.issn.1008-6358.2024.20240269
Citation: ZHOU Xin, YANG Minjie, MENG Xiaoqian, et al. A survey on clinical applications of transradial access for peripheral interventions in 2022[J]. Chinese Journal of Clinical Medicine, 2024, 31(3): 440-444. DOI: 10.12025/j.issn.1008-6358.2024.20240269

2022年经桡动脉入路外周介入临床应用调查

A survey on clinical applications of transradial access for peripheral interventions in 2022

  • 摘要:
    目的 调查经桡动脉入路(transradial access, TRA)在中国医院外周介入中的应用现状、存在问题以及各单位开展桡动脉入路的具体需求,以便更好地推广和发展TRA在外周手术中的应用。
    方法 2022年中国抗癌协会肿瘤介入专业委员会(Committee of Interventional Oncology of China Anti-Cancer Association)采用横断面调查方法,在全国范围内调查TRA外周介入手术情况并进行统计学分析。
    结果 共60家医院参与了调查问卷填写,结果显示TRA外周介入手术量远低于经股动脉入路(transfemoral access, TFA),且在各医院之间存在较大差异。阻碍TRA开展的首要因素是无合适的导管和桡动脉穿刺困难。86.67%的医疗机构希望器械改进或研发新器械,尤其是导管、微导管、导丝。60.00%医疗机构希望能加强系统性培训以及进行多中心临床研究。
    结论 国内多家医疗机构已熟练掌握TRA外周介入手术,但须加强系统性培训及进一步普及TRA在外周介入的应用,而且更适合TRA的器械亟待研发。

     

    Abstract:
    Objective To investigate the current status, obstacles, and specific needs associated with the application of transradial access (TRA) in peripheral interventions in Chinese hospitals, with the aim of promoting the broader adoption of TRA in interventional procedures.
    Methods The Committee of Interventional Oncology of China Anti-Cancer Association conducted a cross-sectional questionnaire survey to investigate and analyze the nationwide situation of TRA in peripheral interventional surgeries in 2022.
    Results Personnel from 60 hospitals participated in the questionnaire. The results showed that the number of peripheral interventionals performed using TRA was significantly lower than that performed using transfemoral access (TFA), with considerable variability among hospitals. The primary obstacles to the adoption of TRA were the lack of suitable catheters and the difficulty of radial artery puncture. Approximately 86.67% of the institutions expressed a high expectation for the innovation of new TRA-specific devices, particularly catheters, microcatheters, and guidewires. 60.00% of medical institutions indicated a strong desire for systematic training and participation in multi-center clinical trials.
    Conclusions TRA peripheral intervention is feasible in many hospitals in China, however, systematic training and further promotion of TRA are essential. The innovation of new TRA-specific devices and TRA in peripheral intervention is urgent.

     

/

返回文章
返回