Zhongguo quanke yixue (Sep 2023)
Effectiveness, Safety and Satisfaction of Distal Transradial Artery Approach in Cerebral Angiography
Abstract
Background Cerebral angiography is an important means for the assessment of cerebrovascular diseases. In recent years, distal transradial artery approach (dTRA) has gradually been used in cerebral angiography, but there are few reports on its effectiveness and safety. Objective To compare the effectiveness, patient safety and satisfaction between transradial artery approach (TRA) and dTRA in cerebral angiography. Methods Totally 135 patients who were hospitalized in Department of Neurosurgery, Wujin Hospital Affiliated to Jiangsu University from January 2020 to June 2022 for cerebral angiography were selected. They were divided into TRA group (n=72) and dTRA group (n=63) by the approach used in cerebral angiography, and the puncture time, duration of cerebral angiography, puncture success rate, X-ray exposure time, incidence of puncture site complications and serious cardiovascular and cerebrovascular events within three days after cerebral angiography, and levels of pain and satisfaction within 24 hours after cerebral angiography were compared between the groups. Results The mean puncture time in dTRA group was much longer than that of TRA group (P<0.05) . The mean duration of cerebral angiography was also significantly longer in dTRA group (P<0.05) . The puncture success rate in dTRA group was much lower (P<0.05) . There was no statistically significant difference between the groups in terms of average X-ray exposure time or the incidence of puncture site complications within three days after cerebral angiography (P>0.05) . No serious cardiovascular and cerebrovascular events occurred in both groups within three days after cerebral angiography. dTRA group had much lighter pain level and significantly higher satisfaction within 24 hours after cerebral angiography than TRA group (P<0.05) . Conclusion Compared with TRA, dTRA is also safe and effective for cerebral angiography, and helps to reduce patients' pain level and improve their satisfaction, so dTRA can be used as one alternative approach for cerebral angiography, but it requires higher level of puncture skills and takes a longer time, so operators need to spend a certain amount of time on relevant learning and training.
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