rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2014-0-2-52-59rentrad-23Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREТРАНСРАДИАЛЬНЫЙ ДОСТУП ПРИ ЧРЕСКОЖНЫХ КОРОНАРНЫХ ВМЕШАТЕЛЬСТВАХ. ЧАСТЬ 2. ПРАКТИЧЕСКИЕ РЕКОМЕНДАЦИИ И СОБСТВЕННЫЕ ДАННЫЕTRANSRADIAL APPROACH DURING PERCUTANEOUS CORONARY INTERVENTIONS. PART 2. PRACTICAL GUIDELINES AND THE AUTHORS’ DATAТерещенкоА. С.TereshchenkoA. S.

врач-кардиолог

ул. 3-я Черепковская, 15а, Москва, 121552

Cardiologist

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

Andrew034@yandex.ruЖамгырчиевШ. Т.ZhamgyrchievSh. T.

к. м. н., врач-кардиолог

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, Cardiologist

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

МеркуловЕ. В.MerkulovE. V.

к. м. н., н. с. отдела рентгеноэндоваскулярных диагностики и лечения

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, Researcher of the Department of Endovascular Diagnosis and Treatment

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

МироновВ. М.MironovV. M.

врач-кардиолог

ул. 3-я Черепковская, 15а, Москва, 121552

Cardiologist

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

ЛевицкийИ. В.LevitskiyI. V.

к. м. н., с. н. с. отдела рентгеноэндоваскулярных диагностики и лечения

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, Senior Researcher of the Department of Endovascular Diagnosis and Treatment

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

ШироковР. О.ShirokovR. O.

к. м. н., врач-кардиолог

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, Cardiologist

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

ГерасимовА. М.GerasimovA. M.

к. м. н., врач-кардиолог

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, Cardiologist

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

СамкоА. Н.SamkoA. N.

д. м. н., профессор, руководитель отдела рентгеноэндоваскулярных диагностики и лечения

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, DSc, Professor, Head of the Department of Endovascular Diagnosis and Treatment 

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

ФГБУ «Российский кардиологический научно-производственный комплекс» Министерства здравоохранения РФРоссияRussian Cardiology Research-and-Production Complex, Ministry of Health of the RFRussian Federation201427022016025259Copyright © Терещенко А.С., Жамгырчиев Ш.Т., Меркулов Е.В., Миронов В.М., Левицкий И.В., Широков Р.О., Герасимов А.М., Самко А.Н., 20162016Терещенко А.С., Жамгырчиев Ш.Т., Меркулов Е.В., Миронов В.М., Левицкий И.В., Широков Р.О., Герасимов А.М., Самко А.Н.Tereshchenko A.S., Zhamgyrchiev S.T., Merkulov E.V., Mironov V.M., Levitskiy I.V., Shirokov R.O., Gerasimov A.M., Samko A.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/23

В статье представлены технические особенности использования трансрадиального доступа, показания и принципы отбора больных для данного артериального доступа, а также поэтапная подготовка больного. Описываются анатомические варианты отхождения лучевой артерии, влияющие на успех выполнения трансрадиального доступа, и наиболее подходящий инструментарий для его проведения. Представлены собственные результаты, полученные в ходе сравнительного анализа разных видов доступа. 

The paper describes the technical features of a transradial approach; indications and patient selection for this arterial approach; and stepwise patient preparation. It depicts the anatomic variants of the origin of the radial artery, which affect the success of this approach. The suitable instruments for this approach are described. The authors give their results of the performed study comparing different types of approaches.

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