经桡动脉途径在血管内介入诊疗中的应用  

Applications of Transradial Approach for Endovascular Interventions

作　　者：李晓光[1] 杨宁[1] 潘杰[1] 刘巍[1] 孙革利[1] 金征宇[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院放射科,北京100730

出　　处：《实用放射学杂志》2006年第1期76-79,共4页Journal of Practical Radiology

摘　　要：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 applications of transradial approach for endovascular interventions and to discuss the technical key points, indications, contraindications and advantages. Methods 230 patients underwent endovascular interventions via radial artery for 265 times . Technical success rate and related complications were recorded . Results Out of 265 times of interventions, 260 （98.1%） achieved success . No serious complications occurred except 3 local hematomas and during follow-up , weakened palpation of the radial artery in 8 cases and one arterial occlusion occurred , but without hand ischemia . Conclusion Transradial approach for endovascular interventions is feasible and safe, and it has such advantages as high success rate, minimal complications, more comfort and less influence on treatment plan.

关 键 词：桡动脉 血管内介入 介入放射学 

分 类 号：R322.121[医药卫生—人体解剖和组织胚胎学] R815[医药卫生—基础医学]