目的　报道心脏静脉逆行造影的方法和 X线解剖学特征。方法　将造影导管放入 10 3例拟进行对窄 QRS心动过速射频消融患者的冠状静脉窦 -心大静脉远端进行造影 ,观察心脏静脉的形态、位置、数目及内径。结果　 10 1例造影成功 ,所有患者均可见心大静脉 [内径 (3.7± 0 .9) m m],3例(2 .97% )心中静脉缺如 ,92例 (91.10 % )患者可见 1～ 3支左心室后静脉 [内径 (4 .2± 3.9) m m];32例(31.6 0 % )可见左心房斜静脉。 13例 (12 .9% )冠状静脉异常。结论　心脏静脉逆行造影方法可靠 ,简单易行 ;冠状静脉解剖学变异较大 Objective To report retrograde cardiac venography and X-ray anatomic features. Methods The contrast-assisted catheterization was performed in 103 patients who underwent radiofrequency catheter ablation of narrow QRS tachycardia. The shape, location, number and internal diameter of the venous vein were observed. Results One hundred and one cases of angiography were successful. All the patients showed large cardiac vein (internal diameter of 3.7 ± 0.9 mm), 3 cases (2.97%) of missing central vein, and 92 (91.10%) patients showed 1 ~ 3 Left ventricular posterior venous support [diameter (4.2 ± 3.9) mm]; 32 cases (31.6%) showed left atrial oblique. Thirteen (12.9%) of the coronary venous anomalies. Conclusions Retrograde cardiac venography is reliable, simple and easy to perform. The variation of coronary vein anatomy is large