中华介入放射学电子杂志 ›› 2022, Vol. 10 ›› Issue (03) : 268 -271. doi: 10.3877/cma.j.issn.2095-5782.2022.03.009 × 扫一扫
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Hailing Ding1, Yinghua Huang1, Sirui Fan1, Wei Jiang1,†()
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丁海岭, 黄颖华, 范思瑞, 江薇. 经股动脉导管主动脉瓣置换DSA技师术中配合[J]. 中华介入放射学电子杂志, 2022, 10(03): 268-271.
Hailing Ding, Yinghua Huang, Sirui Fan, Wei Jiang. Technical cooperation of radiologic technologists during trans-femoral transcatheter aortic valve replacement (TAVR)[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2022, 10(03): 268-271.
总结经股动脉途径经导管主动脉瓣置换（TAVR）术中数字减影血管造影（DSA）技师配合要点及体会。
回顾性分析2018年1月—2021年6月在我院完成的95例TAVR手术的技术配合。
所有手术配合中，3例术中发生电影采集问题；4例发生对比剂注射问题；问题在术中均得以及时解决。
DSA技师在TAVR术中的配合要点在于术前周密准备；术中良好沟通和精确操作；严格的辐射防护监督和良好的无菌观念；手术流程的全面理解；尤其在球囊扩张阻断和瓣膜支架释放时的有效技术配合，是促进手术安全、顺利实施的保证。
To summarize the main points and experience of DSA technologists during trans-femoral transcatheter aortic valve replacement (TAVR).
A total of 95 cases about TAVR procedure were selected from January 2018 to June 2021 in the first Affiliated Hospital of Naval Medical University. Clinical data and technical cooperation during procedures were retrospectively analyzed.
There were 3 cases of cine exposure failure and 4 cases of contrast agents injection failure in all procedures. All the problems were successful solved in time.
There needs to be more emphasis placed on the importance of the DSA technologist's practices such like preoperative preparation, strict aseptic techniques, radiation protection practices, understanding of the operative steps, collaboration, teamwork, and communication, especially as effective cooperation at the stages of balloon dilation and the release of valve stent during TAVR procedure.