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目的探讨经桡动脉介入治疗冠心病的方法。方法回顾分析120例患者的临床资料。结果 120例中有118例患者经桡动脉穿刺成功,成功率达99%,改为经股动脉途径造影。共有132处病变,进行介入治疗。并发症:出现前臂血肿3例,穿刺部位皮肤荨麻疹6例,未经特殊处置,2～4d自行吸收。无冠状动脉穿孔,急性血栓、闭塞和夹层形成。未出现桡动脉痉挛现象。结论经桡动脉入路行冠状动脉造影和支架植入术具有患者损伤小、操作简单、止血方便、血管并发症少、不影响术后抗凝,患者不需卧床的优点。
Objective To investigate the method of transradial interventional treatment of coronary heart disease. Methods The clinical data of 120 patients were retrospectively analyzed. Results In 120 cases, 118 cases were successfully punctured by radial artery and the success rate was 99%. Instead, the femoral artery approach was used. A total of 132 lesions, interventional treatment. Complications: 3 cases of forearm hematoma, skin puncture site urticaria 6 cases, without special treatment, 2 ~ 4d self-absorption. No perforation of coronary arteries, acute thrombosis, occlusion and dissection. Radial artery spasm did not appear phenomenon. Conclusion Transradial approach to coronary angiography and stent implantation has the advantages of less injury, simple operation, convenient hemostasis, less vascular complications, no influence on postoperative anticoagulation, and no bed rest.