介入放射学杂志2023年3月第32卷第3期J Intervent Radiol2023,Vol.32,Na.3-205-·指南与共识Guidelines and consensus·经桡动脉入路外周介入中国专家共识中国抗寤协会肿瘤介入学专业委员会【摘要】经桡动脉人路(transradial access,TRA)行介入手术具有安全、舒适的特点，是冠脉介人的首选入路。但TRA在外周介人中应用不足。目前对如何选择合适的患者、合适的器械，降低TRA并发症及提高TRA使用率尚认识不足。为了更好地推广TRA在外周介人中的应用，指导TRA临床患者选择、技术操作规范和医师技能训练，中国抗癌协会肿瘤介人学专业委员会于2022年组织全国范围内的介人专家成立《经桡动脉人路外周介人中国专家共识》工作小组，并共同制定本共识。本文主要聚焦TRA外周应用现状、优势及局限性、桡动脉解剖学特征，患者选择、操作规范、常见并发症预防与处理、辐射剂量及学习曲线，并通过文献评价结合专家组意见达成共识。【关键词】经桡动脉入路：经股动脉入路：外周介入中图分类号：815文献标志码：A文章编号：1008-794X(2023)-03-0205-010Chinese expert consensus on the transradial access in percutaneous peripheral interventions ChineseSociety of Interventional Oncology,China Anti-Cancer AssociationCorresponding author:YAN Zhiping (Affiliated Zhongshan Hospital of Fudan University,China),E-mail:yan.zhiping@zs-hospital.sh.cn:LI Jiarui(First Hospital of Jilin University,China),E-mail:jiaruili1971@sina.com:DONG Weihua (Shanghai Changheng Hospital,China),E-mail:dongweihua@smmu.edu.en[Abstract]Transradial access(TRA)is a safe and comfortable approach in performing interventionaloperations and it is the preferred access for percutaneous coronary intervention.However,TRA has not beenwidely used in peripheral interventions so far.At present,in clinical practice there is still a lack of awarenesson how to select the suitable patients and the appropriate devices,how to reduce TRA complications andimprove the utilization of TRA.Therefore,in order to better promote the application of TRA in peripheralinterventions,guide clinicians to select patients suitable for using TRA,and improve the technical operationspeci fications as well as physician skills training,the Chinese Society of Interventional Oncology of ChinaAnti-Cancer Association,organized nationwide experts to establish a Working Group of (Chinese Expert Consensuson the TRA in percutaneous peripheral interventions)in 2022 and jointly formulated this consensus.Thisconsensus mainly focuses on the current situation,advantages and limitations of TRA peripheral intervention,anatomical characteristics of radial artery,selection of patient,operation specifications,prevention andtreatment of common complications,radiation dose,and learning curve.Through the literature evaluation andreferring to the opinions of the expert group,this consensus was composed.(J Intervent Radiol,2023,32:205-214)[Key words]transradial access;transfemoral access;peripheral intervention1953年瑞典医生Sven-Ivar Seldinger首次报道择性冠状动脉造影冈。l992年荷兰医生Ferdinand经皮股动脉穿刺行血管造影术，此后经股动脉人路Kiemeni可j基于Lucien Campeau的经验和桡动脉解(transfemoral access,TFA)成为介人放射科医师行剖书完成了第一例经桡动脉入路(TRA)的冠脉支架介入手术时经典的人路选择山。1989年加拿大医生植入术。大量研究表明相较于传统的TFA,TRA能Lucien Campeau首次报道使用经皮桡动脉穿刺行选够诚少冠脉介人患者穿刺点并发症、死亡率、经济D0I:10.3969斤.isn.1008-794X.2023.03.001通信作者：颜志平（复旦大学附属中山医院）E-mail:an.chipin@s-hospital.sh.cn李佳睿（吉林大学第一医院）E-mail:jiaruili1971@sina.com董伟华（上海长征医院）E-mail:dongweihua@smmu.edu.m(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net
