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目的评价经桡动脉途径进行血管内介入诊疗操作的可行性与安全性,并探讨其技术要点、适应证、禁忌证及主要优点。方法230例患者接受经桡动脉途径血管内介入诊疗265例次,统计手术成功率及并发症。结果265例次操作中260例次取得成功,余5例改行经肱动脉途径,成功率98.1%。局部发生轻微血肿3例,术后8例桡动脉搏动减弱,1例搏动消失,并发症发生率为4.6%。结论经桡动脉途径进行血管内介入诊疗操作安全可行,具有成功率高、并发症少、患者舒适、不影响治疗计划等优点,值得推广应用。
Objective To evaluate the feasibility and safety of endovascular treatment through transradial approach and discuss its technical points, indications, contraindications and main advantages. Methods Totally 230 patients underwent transradial approach to endovascular therapy for 265 cases, and the success rate and complications were analyzed. Results Of 265 cases, 260 cases were successful, and the remaining 5 cases were diverted via the brachial artery. The success rate was 98.1%. 3 cases of local minor hematoma, 8 cases of radial artery pulse weakened, 1 case of beating disappeared, the complication rate was 4.6%. Conclusion It is feasible and safe to perform intra-arterial interventional therapy through the radial artery. It has the advantages of high success rate, less complications, patient comfort, and no influence on treatment planning. It is worth popularizing and applying.