经桡动脉途径动脉栓塞治疗在外周疾病中的临床应用及进展
Clinical Application and Progress of Transradial Arterial Embolization in the Treatment of Peripheral Diseases
DOI: 10.12677/ACM.2023.1381773, PDF,    科研立项经费支持
作者: 马雪琴, 谌 浩, 罗小平, 刘 曦*：重庆医科大学第二附属医院放射科，重庆
关键词: 外周血管疾病；桡动脉；股动脉；Peripheral Vascular Disease； Radial Artery； Femoral Artery
摘要: 经股动脉途径(Transfemoral access, TFA)是大多数外周血管介入治疗中广泛使用的一线方法。自从在冠脉介入手术中引入经桡动脉通路(Transradial access, TRA)以来，其相对于TFA的几个优势已经被证明，如穿刺点并发症少、经济负担减轻、住院时间缩短，同时增加患者舒适度等。随着越来越多TRA在外周疾病血管介入治疗中特别是经动脉栓塞治疗中安全性和可行性的有利证实，TRA在外周疾病治疗中的推广和普及将越来越受到重视。本文对TRA在外周疾病血管介入中经动脉栓塞治疗的临床应用现状及进展予以阐述。
Abstract: Transfemoral access (TFA) is a widely used first-line method in most peripheral vascular interven-tions. Since the introduction of Transradial access (TRA) in coronary interventions, several ad-vantages over TFA have been demonstrated, such as fewer complications at the puncture site, re-duced economic burden, shorter hospital stay, and increased patient comfort. With more and more favorable confirmation of the safety and feasibility of TRA in vascular interventional therapy for pe-ripheral diseases, especially in arterial embolization therapy, the promotion and popularization of TRA in the treatment of peripheral diseases will be paid more and more attention. This article re-views the clinical application status and progress of TRA transarterial embolization in peripheral vascular intervention.
文章引用：马雪琴, 谌浩, 罗小平, 刘曦. 经桡动脉途径动脉栓塞治疗在外周疾病中的临床应用及进展[J]. 临床医学进展, 2023, 13(8): 12646-12654. https://doi.org/10.12677/ACM.2023.1381773

参考文献

[1] Campeau, L. (1989) Percutaneous Radial Artery Approach for Coronary Angiography. Catheterization and Cardiovas-cular Interventions, 16, 3-7. [Google Scholar] [CrossRef] [PubMed]
[2] Jahic, A., Mujanovic, E., Bajric, M., et al. (2023) Comparative Analysis of Transradial and Transfemoral Arterial Approach When Performing Diagnostic Coronary Angiography. Medical Archives, 77, 112-117. [Google Scholar] [CrossRef] [PubMed]
[3] Vranckx, P., Frigoli, E., Rothenbühler, M., et al. (2017) Ra-dial versus Femoral Access in Patients with Acute Coronary Syndromes with or without ST-Segment Elevation. Euro-pean Heart Journal, 38, 1069-1080. [Google Scholar] [CrossRef] [PubMed]
[4] Nguyen, D.V., Nguyen, Q.N., Pham, H.M., et al. (2023) Me-ta-Analysis on the Safety and Efficacy of Transradial Approach in Chronic Total Occlusion Percutaneous Coronary In-tervention. American Journal of Cardiology, 192, 245-254. [Google Scholar] [CrossRef] [PubMed]
[5] Ibanez, B., James, S., Agewall, S., et al. (2018) 2017 ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting with ST-Segment Elevation: The Task Force for the Management of Acute Myocardial Infarction in Patients Presenting with ST-Segment Elevation of the European Society of Cardiology (ESC). European Heart Journal, 39, 119-177. [Google Scholar] [CrossRef] [PubMed]
[6] Ferrante, G., Rao, S.V., Jüni, P., Da Costa, B.R. and Reimers, B. (2016) Radial versus Femoral Access for Coronary Interventions across the Entire Spectrum of Patients with Coronary Artery Disease: A Meta-Analysis of Randomized Trials. JACC. Cardiovascular Interventions, 9, 1419-1434. [Google Scholar] [CrossRef] [PubMed]
[7] Jolly, S.S., Yusuf, S., Cairns, J., Niemelä, K. and Xavier, D. (2011) Radial versus Femoral Access for Coronary Angiography and Intervention in Patients with Acute Coronary Syndromes (RIVAL): A Randomised, Parallel Group, Multicentre Trial. The Lancet (London, England), 377, 1409-1420. [Google Scholar] [CrossRef] 
[8] Mercuri, M., Mehta, S., Xie, C., et al. (2011) Radial Artery Access as a Predictor of Increased Radiation Exposure during a Diagnostic Cardiac Catheterization Procedure. JACC: Cardiovascular Interventions, 4, 347-352. [Google Scholar] [CrossRef] [PubMed]
[9] 江海林, 孟小茜, 廖华强, 等. 经桡动脉途径行外周介入的安全性与可行性[J]. 介入放射学杂志, 2018, 27(11): 1027-1030.
[10] Sgueglia, G.A., Di, Giorgio, A., Gaspardone, A., et al. (2018) Anatomic Basis and Physiological Rationale of Distal Radial Artery Access for Percutaneous Coronary and Endovascular Procedures. JACC: Cardiovascular Interventions, 11, 2113-2119. [Google Scholar] [CrossRef] [PubMed]
[11] van Dam, L., Geeraedts, T., Bijdevaate, D., et al. (2019) Distal Ra-dial Artery Access for Noncoronary Endovascular Treatment Is a Safe and Feasible Technique. Journal of Vascular and Interventional Radiology, 30, 1281-1285. [Google Scholar] [CrossRef] [PubMed]
[12] Achim, A., Kákonyi, K., Jambrik, Z., et al. (2021) Distal Radial Ar-tery Access for Coronary and Peripheral Procedures: A Multicenter Experience. Journal of Clinical Medicine, 10, Article 5974. [Google Scholar] [CrossRef] [PubMed]
[13] Hadjivassiliou, A., Cardarelli-Leite, L., Jalal, S., et al. (2020) Left Distal Transradial Access (ldTRA): A Comparative Assessment of Conventional and Distal Radial Artery Size. Cardio-Vascular and Interventional Radiology, 43, 850-857. [Google Scholar] [CrossRef] [PubMed]
[14] Park, S.E., Cho, S.B., Baek, H.J., et al. (2020) Clinical Experi-ence with Distal Transradial Access for Endovascular Treatment of Various Noncoronary Interventions in a Multicenter Study. PLOS ONE, 15, e0237798. [Google Scholar] [CrossRef] [PubMed]
[15] Hashmi, K.A., Iqbal, Z., Hashmi, A.A., et al. (2020) The Fre-quency of Radial Artery Occlusion Following Cardiac Catheterization with the Use of Transradial Pneumatic Compres-sion Band. BMC Research Notes, 13, Article No. 486. [Google Scholar] [CrossRef] [PubMed]
[16] da Silva, R.L., de Andrade, P.B., Abizaid, A.A.C., et al. (2020) Comparison of Minimum Pressure and Patent Hemostasis on Radial Artery Occlusion after Transradial Catheterization. Journal of Invasive Cardiology, 32, 147-152.
[17] Sandoval, Y., Bell, M.R. and Gulati, R. (2019) Transradial Artery Access Complications. Circulation: Cardiovascular Interventions, 12, e007386. [Google Scholar] [CrossRef] 
[18] Heiss, C., Balzer, J., Hauffe, T., et al. (2009) Vascular Dysfunction of Brachial Artery after Transradial Access for Coronary Catheterization: Impact of Smoking and Catheter Changes. JACC: Cardiovascular Interventions, 2, 1067-1073. [Google Scholar] [CrossRef] [PubMed]
[19] Hung, M.L., Lee, E.W., McWilliams, J.P., et al. (2019) A Reality Check in Transradial Access: A Single-Centre Comparison of Transradial and Transfemoral Access for Abdominal and Peripheral Intervention. European Radiology, 29, 68-74. [Google Scholar] [CrossRef] [PubMed]
[20] European Association for the Study of the Liver (2018) EASL Clinical Practice Guidelines: Management of Hepatocellular Carci-noma. Journal of Hepatology, 69, 182-236.
[21] Yamada, R., Bracewell, S., Bassaco, B., et al. (2018) Transradial ver-sus Transfemoral Arterial Access in Liver Cancer Embolization: Randomized Trial to Assess Patient Satisfaction. Journal of Vascular and Interventional Radiology, 29, 38-43. [Google Scholar] [CrossRef] [PubMed]
[22] Zhang, X., Luo, Y., Tsauo, J., et al. (2022) Transradial versus Transfemoral Access without Closure Device for Transarterial Che-moembolization in Patients with Hepatocellular Carcinoma: A Randomized Trial. European Radiology, 32, 6812-6819. [Google Scholar] [CrossRef] [PubMed]
[23] Iezzi, R., Posa, A., Merlino, B., et al. (2019) Operator Learning Curve for Transradial Liver Cancer Embolization: Implications for the Initiation of a Transradial Access Program. Diag-nostic and Interventional Radiology, 25, 368-374. [Google Scholar] [CrossRef] [PubMed]
[24] Jiang, H., Chen, Y., Liao, H., et al. (2022) Operator Radiation Dose during Trans-Hepatic Arterial Chemoembolization: Different Patients’ Positions via Transradial or Transfemoral Access. Diagnostic and Interventional Radiology, 28, 376-382. [Google Scholar] [CrossRef] [PubMed]
[25] Minici, R., Serra, R., Giurdanella, M., et al. (2023) Efficacy and Safety of Distal Radial Access for Transcatheter Arterial Chemoembolization (TACE) of the Liver. Journal of Personal-ized Medicine, 13, Article 640. [Google Scholar] [CrossRef] [PubMed]
[26] Keung, J.J., Spies, J.B. and Caridi, T.M. (2018) Uterine Artery Emboli-zation: A Review of Current Concepts. Best Practice and Research in Clinical Obstetrics and Gynaecology, 46, 66-73. [Google Scholar] [CrossRef] [PubMed]
[27] Himiniuc, L.M.M., Murarasu, M., Toma, B., et al. (2021) Transradial Embolization, an Underused Type of Uterine Artery Embolization Approach: A Systematic Review. Medicina (Kaunas), 57, Article 83. [Google Scholar] [CrossRef] [PubMed]
[28] Nakhaei, M., Mojtahedi, A., Faintuch, S., et al. (2020) Transradial and Transfemoral Uterine Fibroid Embolization Comparative Study: Technical and Clinical Outcomes. Journal of Vascu-lar and Interventional Radiology, 31, 123-129. [Google Scholar] [CrossRef] [PubMed]
[29] Khayrutdinov, E., Vorontsov, I., Arablinskiy, A., et al. (2021) A Randomized Comparison of Transradial and Transfemoral Access in Uterine Artery Embolization. Diagnostic and Inter-ventional Radiology, 27, 59-64. [Google Scholar] [CrossRef] [PubMed]
[30] Sher, A., Garvey, A., Kamat, S., et al. (2021) Single-System Experi-ence with Outpatient Transradial Uterine Artery Embolization: Safety, Feasibility, Outcomes, and Early Rates of Return. American Journal of Roentgenology, 216, 975-980. [Google Scholar] [CrossRef] 
[31] Abt, D., Hechelhammer, L., Müllhaupt, G., et al. (2018) Comparison of Prostatic Artery Embolisation (PAE) versus Transurethral Resection of the Prostate (TURP) for Benign Prostatic Hyper-plasia: Randomised, Open Label, Non-Inferiority Trial. BMJ, 361, k2338. [Google Scholar] [CrossRef] [PubMed]
[32] Knight, G.M., Talwar, A., Salem, R., et al. (2021) Systematic Review and Meta-Analysis Comparing Prostatic Artery Embolization to Gold-Standard Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia. CardioVascular and Interventional Radiology, 44, 183-193. [Google Scholar] [CrossRef] [PubMed]
[33] Jiang, Y., Bai, X., Zhang, X., et al. (2020) Comparative Study of the Effectiveness and Safety of Transurethral Bipolar Plasmakinetic Enucleation of the Prostate and Transurethral Bipolar Plasmakinetic Resection of the Prostate for Massive Benign Prostate Hyperplasia (>80 ml). Medical Science Monitor, 26, e921272. [Google Scholar] [CrossRef] 
[34] Isaacson, A.J., Fischman, A.M. and Burke, C.T. (2016) Technical Feasibility of Prostatic Artery Embolization from a Transradial Approach. American Journal of Roentgenology, 206, 442-444.
[35] 胡晓钢, 杨晓仙, 郭晓华, 等. 经桡动脉途径前列腺动脉栓塞术可行性及安全性研究[J]. 介入放射学杂志, 2017, 26(5): 399-402.
[36] Gil, R., Shim, D.J., Kim, D., et al. (2022) Prostatic Artery Embolization for Lower Urinary Tract Symptoms via Transradial versus Transfemoral Artery Access: Single-Center Technical Outcomes. Korean Journal of Radiology, 23, 548-554. [Google Scholar] [CrossRef] [PubMed]
[37] 杨晓东, 刘强, 彭玉萍. 肾动脉栓塞术治疗不同原因肾出血的临床效果分析[J]. 中国临床医学影像杂志, 2022, 33(6): 441-445.
[38] Amouyal, G., Tournier, L., de Margerie-Mellon, C., et al. (2022) Feasibility of Outpatient Transradial Prostatic Artery Embolization and Safety of a Shortened Deflation Pro-tocol for Hemostasis. Journal of Personalized Medicine, 12, Article 1138. [Google Scholar] [CrossRef] [PubMed]
[39] Muller, A. and Rouvière, O. (2015) Renal Artery Emboliza-tion-Indications, Technical Approaches and Outcomes. Nature Reviews Nephrology, 11, 288-301. [Google Scholar] [CrossRef] [PubMed]
[40] Srinivasa, R.N., Chick, J.F.B., Gemmete, J.J., et al. (2018) Prone Transradial Catheterization for Combined Single-Session Endovascular and Percutaneous Interventions: Approach, Tech-nical Success, Safety, and Outcomes in 15 Patients. Diagnostic and Interventional Radiology, 24, 276-282. [Google Scholar] [CrossRef] [PubMed]
[41] Cao, C., Kim, S.Y., Kim, G.H., et al. (2021) Comparison of Transra-dial and Transfemoral Access for Transcatheter Arterial Embolization of Iatrogenic Renal Hemorrhage. PLOS ONE, 16, e0256130. [Google Scholar] [CrossRef] [PubMed]
[42] Ruzsa, Z., Tóth, K., Jambrik, Z., et al. (2014) Transradial Ac-cess for Renal Artery Intervention. Interventional Medicine and Applied Science, 6, 97-103. [Google Scholar] [CrossRef] [PubMed]
[43] Hebert, C.A., Rosenthal, R.L. and Schussler, J.M. (2023) Transradial Renal Angioplasty and Stent Placement for Systemic Hypertension Caused by Severe Unilateral Renovascular Stenosis. Cureus, 15, e34781. [Google Scholar] [CrossRef] [PubMed]
[44] 林志东, 文宠佩, 王宾, 等. 经右侧桡动脉途径介入治疗咯血39例[J]. 海南医学, 2018, 29(2): 250-252.
[45] 黄笑语. 经桡动脉入路动脉栓塞治疗恶性肿瘤相关出血的临床效果观察[D]: [硕士学位论文]. 北京: 北京协和医学院, 2020.
[46] 宋飞, 向盈盈, 张纪贵, 等. 经桡动脉途径与股动脉途径介入治疗肺鳞癌的对比[J]. 昆明医科大学学报, 2021, 42(9): 134-137.
[47] 贺帅杰. 经不同途径行血管介入的临床应用研究[D]: [硕士学位论文]. 石河子: 石河子大学, 2021.
[48] 李亚威, 曹家玮, 张晓武, 等. 经桡动脉途径行外周血管介入的临床研究[J]. 中华肿瘤杂志, 2021, 43(1): 143-146.
[49] 赵瑞峰, 朱旭瑶, 信嘉轩, 等. 经桡动脉途径脾动脉栓塞术经验探讨[J]. 中国卫生标准管理, 2020, 11(16): 76-79.
[50] Guo, X., Wang, L., Liu, J., et al. (2022) Transradial Approach Using a Distal Access Catheter without Guiding Support for Symptomatic Intracranial Vertebral Artery and Basilar Artery Stenosis: A Multicenter Experience and Technical Procedure. Journal of NeuroIn-terventional Surgery, 14, 511-5165. [Google Scholar] [CrossRef] [PubMed]
[51] Patel, T., Shah, S., Pancholy, S., et al. (2015) Utility of Transradial Approach for Peripheral Vascular Interventions. Journal of Invasive Cardiology, 27, 277-282.
[52] van Dijk, L.J.D., van Noord, D., van Mierlo, M., et al. (2020) Single-Center Retrospec-tive Comparative Analysis of Transradial, Transbrachial, and Transfemoral Approach for Mesenteric Arterial Procedures. Journal of Vascular and Interventional Radiology, 31, 130-138. [Google Scholar] [CrossRef] [PubMed]
[53] Fuga, M., Tanaka, T., Tachi, R., et al. (2022) A Novel 3-Fr Guiding Sheath for Transradial Access in Aneurysm Embolization: Technical Note. Interventional Neuroradiology. [Google Scholar] [CrossRef] [PubMed]

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