Radial artery spasm after interventional treatment of intracranial aneurysm
Conditions
Interventions
Treat group:The operation and treatment were performed using Hua Tuo disposable needle (0.30×40mm) and SDZ-V electroacupuncture stimulator (Suzhou Medical Instrument Co., LTD., Suzhou, China). Thirty
Control group:On the basis of conventional treatment, blank control therapy was performed using the simulated electroacupuncture method. The selection of acupuncture needles and acupoints was the same
Sponsors
The First Affiliated Hospital of Nanjing Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: (1) Aged 18 to 75, BMI<28kg/m ²; (2) ASA classification grades I - III; (3) Elective interventional surgery for intracranial aneurysms via the radial artery approach is performed; (4) Preoperative upper limb ultrasound shows that at least one of the bilateral radial arteries can be used to establish a surgical access. (5) Radial artery patency assessment: Barbeau test type A-C; (6) Surgeries with a duration of less than 2 to 4 hours; (7) Be willing to sign the informed consent form.
Exclusion criteria
Exclusion criteria: (1) Patients who are prone to fainting from needles; (2) Infection of the neck on the surgical side; (3) Those with coagulation disorders; (4) Preoperative upper limb ultrasound or DSA shows radial artery occlusion and arteriovenous fistula; (5) Patients with a history of hand trauma that may affect the establishment of radial artery access and use the radial artery as a bypass or dialysis vessel; (6) Patients with a history of takayasu arteritis or severe vascular diseases; (7) Patients who have a history of interventional surgery via the radial artery; (8) Those with severe dysfunction of organs such as the heart, lungs, liver and kidneys; (9) Radial artery patency assessment: Barbeau trial type D (10) patients refused to sign up for the study or cooperate with the follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Long-term reuse rate of the radial artery; | — |
Secondary
| Measure | Time frame |
|---|---|
| The severity of radial artery spasm;Arterial Doppler blood flow parameters;The duration and frequency of radial artery puncture after acupuncture;The utilization rate of nitroglycerin;Incidence of intraoperative hypotension;Delium;The incidence of acute embolic events;Changes in the five coagulation items and inflammatory factors;Patient and surgeon satisfaction scores; | — |
Countries
China
Contacts
Public ContactJingjin Li
The First Affiliated Hospital of Nanjing Medical University
Outcome results
None listed