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目的总结经桡动脉行冠状动脉造影和介入治疗的经验。方法对有冠状动脉造影指征的住院患者120例,经桡动脉途径实施冠状动脉造影,如有冠状动脉病变则作进一步介入治疗。结果 120例患者中,117例成功穿刺桡动脉并完成冠状动脉造影、介入治疗;2例桡动脉痉挛穿刺失败而改行其他途径,1例因锁骨下动脉迂曲改行股动脉途径。桡动脉穿刺成功率97.5%;造影成功率99.1%。29例成功植入支架。造影导丝通过不畅而换用亲水导丝成功12例。前臂轻中度血肿6例,桡动脉闭塞1例,无1例严重并发症发生。结论经桡动脉途径行冠状动脉诊疗术对操作者有较高要求,但在积累一定经验后能顺利完成。
Objective To summarize the experience of transradial coronary angiography and interventional therapy. Methods 120 hospitalized patients with coronary angiography indications were enrolled in this study. Coronary angiography was performed via radial artery and further interventional treatment in the case of coronary artery lesion. Results Among the 120 patients, 117 cases successfully punctured the radial artery and completed coronary angiography and interventional therapy. Two cases failed radial nerve spasm puncture and diverted to other ways, one case was caused by tortuous conversion of the subclavian artery to the femoral artery. Radial artery puncture success rate of 97.5%; angiography success rate of 99.1%. 29 cases were successfully implanted stent. Diffuse guide wire through the poor and replaced with hydrophilic guide wire in 12 cases. Six cases of mild to moderate forearm hematoma, radial artery occlusion in 1 case, no serious complications occurred. Conclusion Transradial approach to coronary artery surgery has higher requirements for the operator, but after a certain amount of experience can be successfully completed.