末梢桡动脉和无鞘技术在冠状动脉介入治疗中的应用现状

随着冠状动脉介入技术和材料的不断进步,越来越多的复杂病变被攻克。相比于旋磨技术、药物球囊和可吸收支架的使用,穿刺部位的选择和无鞘技术的运用往往得不到大多数术者的重视,实际上,末梢桡动脉途径具有更小的术后出血及血管闭塞风险,无鞘技术减少股动脉的使用,提高了患者术后的生活质量。现就末梢桡动脉和无鞘技术在冠状动脉介入治疗中的应用现状做一综述。

Distal Radial Artery Puncture and Sheathless Technique in Coronary Intervention

As the progress of coronary intervention techniques and materials develops,more and more complicated diseases have been well treated.Unlike some techniques such as rotational atherectomy,drug balloon and absorbable stent,the puncture site selection and the application of sheathless guiding catheters often do not get the attention of most operators.Actually,the puncture site of distal radial artery has lower risk of postoperative bleeding and vascular occlusion,and the application of sheathless guiding catheters reduced the utility of femoral artery during percutaneous coronary intervention,which improves the life quality of patients.This paper reviews the latest techniques of distal radial artery puncture and sheathless guiding catheters in coronary intervention.