【摘要】 作为一种新的经皮冠状动脉介入治疗入径，经远端桡动脉入径近年来在临床上得到越来越广泛的应用。相较经桡动脉入径，经远端桡动脉入径在提升患者和术者舒适性、降低患者并发症发生率、减少患者前臂动脉损伤等方面具有明显优势，但也存在一定局限性，如穿刺成功率较低、学习周期较长、穿刺部位疼痛感较为明显、桡动脉痉挛发生率较高等。目前，经远端桡动脉入径亦可作为急性冠脉综合征和复杂冠状动脉经皮冠状动脉介入治疗入径，但其是否适合大规模推广、应用仍需进一步验证。本文主要总结、分析了经远端桡动脉入径行经皮冠状动脉介入治疗的优势、劣势及其面临的机遇和挑战，以期为临床科学、合理地应用经远端桡动脉入径提供参考。

    【关键词】 冠心病；冠状动脉疾病；经皮冠状动脉介入治疗；桡动脉；远端桡动脉；SWOT分析

    【中图分类号】 R 541.4 R 543.3 R 654.33 【文献标识码】 A DOI：10.12114/j.issn.1007-9572.2022.0874

    【引用本文】 兰永昊，科尔沁，韩蕊，等. 经远端桡动脉入径行经皮冠状动脉介入治疗：优势、劣势、机遇和挑战[J]. 中国全科医学，2023，26(27)：3355-3360. DOI：10.12114/j.issn.1007-9572.2022.0874. [www.chinagp.net]

    【Abstract】 As a new approach for percutaneous coronary intervention，distal transradial approach(dTRA)is increasingly applied in clinical practice. Thus dTRA is superior to transradial artery approach in improving patient and surgeon comfort，reducing the incidence of complications and forearm arterial injuries，while it also has many limitations，such as lower success rate，longer learning cycle，higher level of" puncture site pain，and relatively higher incidence of radial artery spasm. And dTRA has also been used as an approach for acute coronary syndrome and complex percutaneous coronary intervention. But it still needs further verification whether dTRA is suitable for mass promotion and application. This paper reviews and analyzes the strengths ......