5F共用型造影导管在经肱动脉冠状动脉造影术中的应用  

The application of 5F multifunction catheter in transbrachial coronary angiography.

作　　者：林虹[1] 黄从新[2] 王风[1] 

机构地区：[1]广西壮族自治区人民医院心内科,南宁530022 [2]武汉大学人民医院心内科,430060

出　　处：《微创医学》2006年第1X期14-15,共2页Journal of Minimally Invasive Medicine

摘　　要：目的探讨5F共用型造影导管经肱动脉穿刺行冠状动脉造影的安全性及成功率。方法选择经肱动脉径路行冠状动脉造影患者486例，分为Judkins型组即A组（n=201）和共用型组即B组（n=285）。对比两组造影成功率、X线透视时间和手术操作时间以及并发症等。结果①A组186例（93．8％）造影成功，B组282例（97．8％）造影成功，两组比较差异有显著性（x^2=13．58，P〈0．01）；A组的冠状动脉造影平均X线透视时间和手术操作时间分别为（7．9±5．1）min和（31．8±20．2）min；B组分别为（5.3±3．5）和（23．9±11．4）min，差异有显著性（u=6-3和u=5．5，P〈0．05）。结论使用较小直径造影导管即5F共用型导管经肱动脉径路施行诊断性冠状动脉造影，成功率高于Judkins型导管，且X线透视时间和手术操作时间均较短。Objective To evaluate the safety and rate of success of the application of 5F multifunction catheter in transbrachial coronary angiography （CAG）. Methods 486 cases who had recei-ved transbrachial CAG was divided into two groups, Judkins Gotlp （Goup A,n=201）and multifunction catheter group （ Group B, n=285 ）.The rate of success,the duration of exposure to x-ray, the operation time and the complications were compared. Results Group A had a higher rate of success （93.8% vs 97.8%,x^2=13.58,P〈0.01）, the average exposure time and operation time in Group A were （ 7.9 ± 5.1 ） min and （ 31.8 ± 20.2 ） min, while （ 5.3 ± 3.5 ） min and （ 23.9 ± 11.4 ） min in group B. There was significant difference between two groups. Conclusion Transbrachial CAG With 5F multifunction catheter has a higher rate of success, shorter duration of exposure to x-ray and operation time than with Judkins-type catheter.

关 键 词：冠状动脉造影 肱动脉 共用型导管 Judkins型导管 

分 类 号：R816.2[医药卫生—放射医学]