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首页> 外文期刊>Catheterization and cardiovascular interventions: Official journal of the Society for Cardiac Angiography & Interventions >Comparison of Ultrasound Guidance with the Traditional Palpation and Fluoroscopy Method for the Common Femoral Artery Puncture
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Comparison of Ultrasound Guidance with the Traditional Palpation and Fluoroscopy Method for the Common Femoral Artery Puncture

机译：超声波引导与传统触发和荧光透视方法的普通股动脉刺穿

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Objectives: To compare the success and complication rates of ultrasound-guided or palpation-guided punctures of the common femoral artery in a prospective randomized study. Background: Percutaneous femoral arterial access is sometimes difficult to perform and is the source of complications. It has not been established whether ultrasound-guided puncture of the common femoral artery is the standard practice for angiography. Materials and Methods: Two hundred and eight patients were randomized into two groups. One had ultrasound-guided puncture and the other had palpation-guided puncture of the common femoral artery. The technical success, first pass success rate, total number of attempts required for access, time to sheath insertion, pain during puncture, and access-related complication were compared. Results: Technical success tended to be higher and the complication rates tended to be lower in the ultrasound-guided group but the difference did not reach statistical significance (P = 0.052 and P = 0.052). The first pass success rate was higher, total number of attempts required for access and time to sheath insertion were lower in the ultrasound-guided group. Atheromatous plaques on the common femoral artery, iliac artery obstructive lesion, previous ipsilateral puncture of the common femoral artery, obesity, and blood pressure during puncture did not change the outcome. Conclusions: Ultrasound guidance improves secondary outcomes of the common femoral artery puncture when compared to palpation-guided puncture. Technical success and complication rates seem lower in the presence of ultrasound guidance but larger study populations are needed to verify the result.
机译：目标：比较普通股动脉在预期随机研究中的超声引导或触诊引导刺穿的成功和复杂速度。背景：经皮股动脉接入有时难以表现，并且是并发症的来源。尚未确定普通股动脉的超声引导穿刺是否是血管造影的标准做法。材料和方法：二百八名患者随机分为两组。一个人具有超声引导的刺穿，另一个具有悬垂引导的普通股动脉的穿刺。技术成功，首次传递成功率，访问所需的尝试总数，鞘插入时间，穿刺期间的疼痛和接入相关的并发症。结果：技术成功趋于更高，超声引导群体的并发症率趋于较低，但差异没有达到统计学意义（P = 0.052和P = 0.052）。第一传递成功率较高，在超声引导群体中访问和鞘插入时间所需的尝试总数较低。在普通股动脉的喉头斑块，髂动脉阻塞性病变，之前的股票动脉，肥胖和穿刺期间血压的同侧穿刺并没有改变结果。结论：与触诊引导的穿刺相比，超声波引导提高了共同股动脉穿刺的二次结果。在超声引导存在下，技术成功和并发症率似乎较低，但需要更大的研究群体来验证结果。

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