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目的观察经桡动脉用无鞘导管对冠状动脉病变介入治疗的临床应用价值。方法回顾性分析2013年12月至2015年12月滁州市第一医院60例接受无鞘指引导管介入治疗的冠状动脉病变患者临床资料、影像资料、恢复状况以及术后并发症,了解无鞘指引导管的通过性和支撑性。结果 60例患者中单支血管病变28例,双支病变8例,慢性完全闭塞病变7例,迂曲合并钙化病变9例,分叉病变8例(其中3例合并双支病变,4例合并迂曲钙化病例,1例合并慢性完全闭塞病变),均使用无鞘指引导管介入治疗,全部通过桡动脉顺利到位,成功接受PCI治疗56例,失败4例。结论经桡动脉使用无鞘指引导管对冠状动脉病变介入治疗具有良好的通过性、强支撑力、导管腔大,能够完成绝大部分冠状动脉病变的治疗。
Objective To observe the clinical value of percutaneous transradial sheathless catheterization in the treatment of coronary artery lesions. Methods The clinical data, imaging data, recovery status and postoperative complications of 60 patients with coronary artery disease without sheath guidance catheter were retrospectively analyzed from December 2013 to December 2015 in Chuzhou No.1 Hospital. Catheter penetration and support. Results Among the 60 patients, there were 28 cases of single vessel disease, 8 cases of double-vessel disease, 7 cases of chronic total occlusion disease, 9 cases of tortuous calcification, 9 cases of bifurcation lesions (3 cases with double-vessel disease and 4 cases with tortuosity Calcification, and 1 patient with chronic total occlusion) were treated with sheath-free catheterization. All of them were successfully placed in the radial artery. 56 patients were successfully treated with PCI and 4 patients failed. Conclusion The use of non-sheath guide catheters through the radial artery has good passability, strong supportive force and large catheter lumen for the treatment of coronary artery lesions. It can finish the treatment of most coronary lesions.