论文部分内容阅读
目的探讨使用1.33mm(4F)造影导管经桡动脉入路行诊断性冠状动脉造影的可行性。方法选择经桡动脉入路冠状动脉造影患者138例,术后随访2周至1个月,观察操作过程、造影图像质量、术中及术后并发症。结果造影成功率为97.7%;X线透视时间5.05±3.23min,操作总时间20.51±3.37min;造影导管到位固定不佳10例(7.8%),超选12例(9.4%);造影图像质量评分前降支2.87±0.40分,回旋支2.88±0.39分,右冠状动脉2.90±0.35分;术中桡动脉痉挛6例(4.3%),冠状动脉痉挛2例(1.5%),术后无桡动脉闭塞。结论合理选择病例使用1.33mm造影导管经桡动脉行冠状动脉造影导管操作、控制方便,造影图像质量好,血管并发症少。
Objective To investigate the feasibility of diagnostic coronary angiography using a 1.33 mm (4F) catheter through the radial artery. Methods 138 patients undergoing transradial coronary angiography were selected. The patients were followed up for 2 weeks to 1 month. The course of operation, contrast and image quality, intraoperative and postoperative complications were observed. Results The success rate of radiography was 97.7%, X-ray fluoroscopy time was 5.05 ± 3.23min, total operation time was 20.51 ± 3.37min, angiography catheter fixation was poor in 10 cases (7.8%), ultrasonography in 12 cases (9.4%), radiographic image quality The scores of anterior descending artery were 2.87 ± 0.40 points, 2.88 ± 0.39 points of the circumflex artery and 2.90 ± 0.35 points of the right coronary artery. There were 6 cases (4.3%) of radial artery spasm and 2 cases of coronary artery spasm (1.5%), Artery occlusion. Conclusion Reasonable choice of cases using 1.33mm catheter through the radial coronary artery angiography catheter operation and control, angiography image quality, fewer vascular complications.