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目的探讨经桡动脉行冠状动脉介入术的临床特点。方法回顾分析75例患者的临床资料。结果 75例患者穿刺成功72例,成功率96%。其中有6例发生桡动脉痉挛,4例再次穿刺成功,2例致普通导丝无法通过,其中1例改行肱动脉穿刺成功,1例改行股动脉途径成功;1例右锁骨下动脉迂曲1例;有3例撤除导管时发生右上臂酸痛;术中无心脏并发症发生。其中单支血管病18例,双支病变35例,三支病变22例。结论 PCI可以获得稳定的闭塞血管开通率,实现完全再灌注,减少了PCI后支架内血栓形成和再狭窄的发生,提高冠心病患者的诊断率。
Objective To investigate the clinical features of transradial coronary intervention. Methods The clinical data of 75 patients were retrospectively analyzed. Results 75 cases of successful puncture in 72 cases, the success rate of 96%. Among them, radial artery spasm occurred in 6 cases, successful puncture in 4 cases and failed normal guide wire in 2 cases. One case was successful in transplanting the brachial artery, and one case succeeded in diverting the femoral artery. One case had tortuous right subclavian artery There were 3 cases of right upper arm pain when removal of catheter; no cardiac complications during operation. Of which 18 cases of single vessel disease, double vessel disease in 35 cases, 22 cases of three lesions. Conclusion PCI can achieve a stable rate of occlusion of vessels and achieve complete reperfusion, reduce the incidence of stent thrombosis and restenosis after PCI, and improve the diagnosis rate of coronary heart disease.