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2022年经桡动脉入路(TRA)外周介入临床使用调查研究 |
周馨1,2,3, 杨敏捷1,2,3, 孟小茜4, 李佳睿5, 黄慧勇6, 安天志7, 游箭8, 李二生9, 张雯1,2,3, 颜志平1,2,3
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1.复旦大学附属中山医院,介入放射科;2.国家放射与治疗临床医学研究中心;3.上海市影像医学研究所;4.上海长征医院;5.吉林大学第一医院;6.中山大学附属第一医院;7.贵州医科大学附属医院;8.贵黔国际总医院;9.邢台医学高等专科学校第一附属医院
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摘要: |
目的 为了解桡动脉入路(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在介入手术中的应用。
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,在全国范围内进行调查开展的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,分析显示TRA外周介入手术量远低于TFA,且在各医院之间存在较大的差异。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。85%的医疗机构希望在新器械的研发方面得到改进,尤其是导管、微导管、导丝。60%医疗机构希望能加强系统性的培训以及更多地进行多中心临床研究。
结论 国内多家医疗机构已经熟练掌握TRA在外周介入中的应用。目前仍需加强人员的系统性培训及进一步普及TRA外周介入应用。更适合TRA的器械亟待研发并投入临床使用。 |
关键词: 经桡动脉入路 外周介入 问卷调查 |
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基金项目:国家自然科学基金(82302323) |
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A Survey of Clinical Application of Transradial Access in Peripheral Intervention in 2022 |
Zhou Xin1,2,3, Yang Min Jie1,2,3, Meng Xiao Xi4, Li Jia Rui5, Huang Hui Yong6, An Tian Zhi7, You Jian8, Li Er Sheng9, Zhang Wen1,2,3, Yan Zhi Ping1,2,3
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1.Department of Interventional Radiology, Zhongshan Hospital, Fudan University;2.National Clinical Research Center for Interventional Medicine;3.Shanghai Institution of Medical Imaging;4.Shanghai Changzheng Hospital;5.The First Hospital of Jilin University;6.The First Affiliated Hospital, Sun Yat-sen University;7.The Affiliated Hospital of Guizhou Medical University;8.Guiqian International General Hospital;9.The First Hospital of Xingtai
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Abstract: |
Object: To investigate the current status, obstacles and specific needs of the application of transradial access (TRA) in peripheral intervention in Chinese hospitals, so as to better promote the application of TRA in interventional procedures.
Methods: The Committee of Interventional Oncology of China Anti-Cancer Association conduct a cross-sectional questionnaire survey to investigate and analyze the situation of TRA peripheral interventional surgery nationwide in 2022.
Results: Personals from 60 hospitals participated in the questionnaire filling. Data analysis revealed that the number of peripheral interventional via TRA was much lower than that of TFA, and there was a huge gap among hospitals. The number one obstacle of the application of TRA is lack of suitable catheters and the difficulty of radial artery puncture. Innovation of new TRA devices, especially catheters, microcatheters and guidewires was highly expected in 85% of the institutions. Also, systematic training and involving in more multi-center clinical studies were much desired in 60% of medical institutions.
Conclusion: Peripheral intervention via TRA is available in many hospitals in China. However, systematic training and further promotion of TRA are still needed. The innovation and clinical translation of new TRA specific devices are highly expected. |
Key words: transradial access, peripheral intervention, questionnaire survey |