桡动脉穿刺冠状动脉内介入治疗的临床应用  

Clinical Application of Coronary Intervention Treatment Through Radial Artery

作　　者：李琳[1] 柳茵[1] 刘维军[1] 樊世明[1] 于伊[1] 梅峰[1] 刘连军[1] 王红[1] 严鹏仲[1] 任明[1] 

机构地区：[1]青海大学附属医院心内科,810001

出　　处：《青海医药杂志》2006年第3期10-11,共2页Qinghai Medical Journal

摘　　要：目的：探讨经桡动脉穿刺选择性冠状动脉造影及冠状动脉腔内成形术（PTCA）及支架术的临床意义。方法：对102例具备冠状动脉造影适应证的患者，采用经桡动脉穿刺法行右、左冠状动脉造影，并根据冠状动脉造影结果决定是否行经皮冠状动脉腔内成形术（PTCA）及支架术。结果：冠状动脉狭窄（50-70）％21例（21／102，占21％），〉75％以上68例（68／102，占67％），68例行PTCA及支架植入术，〈50％13例（13／102，占12％），冠状动脉正常25例（25／70，占35．5％）。结论：通过冠状动脉造影，可以定性诊断，指导治疗；桡动脉穿刺具有出血并发症少等优点。Objective： To understand the clinical application and its significance of coronary interventional treatment through radial artery. Methods： Right and left coronary contrast examination was performed through the radial artery in 102 objects, so that determined if the PTCA and intracoronary stent would be done. Results： 21 of 102 cases had the 50%-70% coronary stenosis; 68 cases were 〉75% stenosis （67%） ; 13 cases 〈50% stenosis （12%）, 25 cases had normal state of coronary artery. The PTCA and/or stent implantation was performed in 68 objects. Conclusions. The radial artery puncture for coronary contrast examination is a good way because of less hemorrhage and complication, and has benefit to determination of PTCA and stent implantation.

关 键 词：桡动脉穿刺 冠状动脉造影 经皮腔内冠状动脉成形术 支架植入术 冠状动脉旁路移植术 

分 类 号：R541.4[医药卫生—心血管疾病]