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目的探讨经桡动脉冠脉造影术的临床应用价值。方法120例病人术前均接受A llen’s试验检查,选择右侧桡动脉作为穿刺插管的部位,依个人习惯我们使用5F桡动脉造影导管。结果造影成功113例,成功率为94.2%,7例失败(为血管严重痉挛而无法进入导管),局部血肿3例(2.5%),2例(1.7%)术后发生桡动脉闭塞,无出血、夹层等血管并发症发生。结论经桡动脉行冠脉造影与经股动脉同样安全、可行,经桡动脉的穿刺局部并发症少,病人更乐意接受。
Objective To investigate the clinical value of transradial coronary angiography. Methods All 120 patients underwent Alen’s test before surgery. The right radial artery was selected as the site for puncture and intubation. According to personal habits, we used 5F radial artery catheterization. Results The success rate of radiography was 113 cases. The success rate was 94.2%. Seven patients failed to enter the catheter because of severe spasm. Three patients (2.5%) had local hematoma and two patients (1.7%) had radial artery occlusion without hemorrhage , Dissection and other vascular complications. Conclusions The transradial coronary angiography is as safe and viable as the transthoracic artery. There are few local complications of transradial puncture and the patients are more willing to accept it.