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目的 探讨经桡动脉冠状动脉造影术的可行性、安全性和方法学。方法 30 4例患者经桡动脉途径行冠状动脉造影术。结果 2 91例获得成功 ,13例失败 ,6例桡动脉穿刺和插管未成功 ,4例导丝或导管在上肢动脉中前进受阻 ,3例因锁骨下动脉硬化和迂曲而不能插管至冠状动脉开口处。结论 经皮穿刺桡动脉冠状动脉造影术是一种安全、可行的冠状动脉介入诊断新途径 ,具有止血容易、术后无须卧床休息、病人痛苦小和并发症少的优点。
Objective To investigate the feasibility, safety and methodology of transradial coronary angiography. Methods 30 patients underwent radial artery coronary angiography. Results 2 91 cases were successful, 13 cases failed, 6 cases of radial artery puncture and intubation unsuccessful, 4 cases of guide wire or catheter in the upper extremity artery advancing obstruction, 3 cases of subclavian arteriosclerosis and tortuosity can not intubation to the coronary Artery openings. Conclusion Percutaneous transradial coronary angiography is a safe and feasible new method of coronary intervention. It has the advantages of easy to stop bleeding, no bed rest after operation, little patient suffering and few complications.