Comparison of the effects of distal transradial access and conventional transradial access puncture on pain degree in patients undergoing cerebrovascular intervention diagnosis and treatment
Wen Yingyue
Yuan Zhongyu
Meng Li
Zhang Xiaoping
He Xiaofen
Yu Lei
Wang Lifeng
Abstract：Objective To investigate the effects of distal transradial access(dTRA)and conventional transradial access(cTRA)on pain degree in patients undergoing cerebrovascular intervention diagnosis and treatment.Methods Totally 90 patients who underwent cerebrovascular intervention diagnosis and treatment at Department of Cerebrovascular Disease,Beijing Anzhen Hospital,Capital Medical University from August 2022 to March 2023 were selected.They were divided into cTRA group and dTRA group according to the different operating methods.The postoperative pain level of the patient was evaluated using the Digital Rating Scale(NRS),and risk factors,laboratory examination indicators,NRS score,as well as the incidence of puncture complications and perioperative adverse events were compared between the two groups.Results There were 57 cases in the cTRA group and 33 cases in the dTRA group.Except for the proportion of alcohol consumption,the proportion of coronary atherosclerotic heart disease,and the level of blood glucose,there were no significant differences in risk factors and laboratory test indicators between the two groups(all P＞0.05).There were no patients with NRS scores higher than 5 in both groups,and the proportion of patients with low pain scores in the dTRA group was higher.The NRS score in the dTRA group was lower than that in the cTRA group[0(0,0.5)vs 2.0(1.0,3.0)](Z=6.300,P＜0.001).There were no statistically significant difference in the incidence of puncture points cyanosis between the two groups(P＞0.05),and there were no adverse events such as cerebral hemorrhage,cerebral infarction,or myocardial infarction in both groups.Conclusion Compared with cTRA puncture,the choice of dTRA puncture in patients can reduce the degree of pain in patients with cerebrovascular intervention,and there is no increase in complications.
Keywords：Cerebrovascular interventionPuncture approachPain assessment
Publication Date：2024-03-08
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 377-380 )