clinmedКлиническая медицинаClinical Medicine (Russian Journal)0023-21492412-1339ООО «Медицинское информационное агентство»10.30629/0023-2149-2023-101-2-3-111-115clinmed-512Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESОсобенности дистального лучевого доступа при выполнении эндоваскулярных вмешательствDistal radial access for endovascular interventionshttps://orcid.org/0000-0003-3224-2306МихееваЮ. В.MikheevaYu. V.

Михеева Юлия Васильевна — аспирант кафедры госпитальной терапии с курсами эндокринологии, гематологии и клинической лабораторной диагностики медицинского института, врач-кардиолог, врач функциональной диагностики, врач по специальности «рентгенэндоваскулярные диагностика и лечение»

117198, Москва

Mikheeva Yulia V.

117198, Moscow

juliya.sp@mail.ruhttps://orcid.org/0000-0001-6071-3406КуртасовД. С.KurtasovD. S.

Куртасов Дмитрий Сергеевич — канд. мед. наук, заведующий отделением рентгенохирургических методов диагностики и лечения сосудистого центра, эндоваскулярный хирург

141301, Сергиев Посад

Kurtasov Dmitry S.

141301, Sergiev Posad

https://orcid.org/0000-0003-2988-2054КислыйН. Д.KisliyN. D. 

Кислый Николай Дмитриевич — д-р мед. наук, профессор, заведующий кафедрой госпитальной терапии с курсами эндокринологии, гематологии и клинической лабораторной диагностики медицинского института

117198, Москва

Kisliy Nikolai D.

117198, Moscow

https://orcid.org/0000-0001-7274-0276КолединскийА. Г.KoledinskyA. G.

Колединский Антон Геннадьевич — д-р мед. наук, профессор, заведующий кафедрой кардиологии, рентгенэндоваскулярных и гибридных методов диагностики и лечения факультета непрерывного медицинского образования медицинского института; руководитель сосудистого центра; кардиолог, эндоваскулярный хирург, ангиохирург, кардиохирург

117198, Москва

141301, Сергиев Посад

109316, Москва

Koledinsky Anton G.

117198, Moscow

141301, Sergiev Posad

109316, Moscow

ФГАОУ ВО «Российский университет дружбы народов» Минобрнауки РФ (РУДН)РоссияPeoples Friendship University of Russia (RUDN University) of the Ministry of Education and Science of RussiaRussian FederationГБУЗ МО «Сергиево-Посадская районная больница»РоссияSergiev Posad Regional HospitalRussian FederationФГАОУ ВО «Российский университет дружбы народов» Минобрнауки РФ (РУДН); ГБУЗ МО «Сергиево-Посадская районная больница»; ООО «СМ-Клиника»РоссияPeoples Friendship University of Russia (RUDN University) of the Ministry of Education and Science of Russia; Sergiev Posad Regional Hospital; LLC «SM-Clinic»Russian Federation2023130420231012-3111115Copyright © Михеева Ю.В., Куртасов Д.С., Кислый Н.Д., Колединский А.Г., 20232023Михеева Ю.В., Куртасов Д.С., Кислый Н.Д., Колединский А.Г.Mikheeva Y.V., Kurtasov D.S., Kisliy N.D., Koledinsky A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.clinmedjournal.com/jour/article/view/512

В настоящей статье на основании рекомендаций Европейского общества кардиологов, российских клинических рекомендаций, а также крупных рандомизированных исследований обобщены сведения о традиционном лучевом доступе, применяемом при проведении рентгенэндоваскулярных процедур. Приведено описание и особенности нового дистального лучевого доступа, заключающегося в пункции глубокой ладонной ветви лучевой артерии (ГЛВ ЛА), то есть катетеризации радиальной артерии дистальнее места ее бифуркации на поверхностную и глубокую ладонные дуги.

Цель данной работы: представить актуальные данные о дистальном лучевом доступе в связи с отсутствием информации о нем в современных клинических рекомендациях, привести преимущества и недостатки, оценить частоту развития осложнений при использовании этого метода. Анализ литературы показал, что новый дистальный лучевой доступ является безопасным, эффективным, конкурентоспособным и может быть методом выбора при проведении эндоваскулярных вмешательств.

This article, based on the guidelines of the European Society of Cardiology (ESC), Russian clinical recommendations and large randomized trials, summarizes information about traditional radial access used in X-ray endovascular interventions. We present a description and characteristics of a new distal radial approach. It is a puncture of the deep palmar branch of the radial artery (DLV LA) and catheterization of the radial artery distal to its bifurcation to the superfi cial and deep palmar arches.

The aim of this study is to present real time data about distal radial access as current clinical guidelines do not contain information about this new method; to evaluate its advantages and disadvantages, and to assess the frequency of complications. Analysis of references showed that the new distal radial approach is safe, eff ective, competitive and it may be the method of choice for endovascular interventions.

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The authors declare that there are no conflicts of interest present.