经桡动脉途径冠状动脉介入诊疗的临床应用  

The clinical applicative value of transradial approach for coronary angiography and interventions

作　　者：张戟[1] 徐亚伟[1] 陈艳清[1] 李伟明[1] 杨海燕[1] 韩雪更[1] 

机构地区：[1]同济大学附属第十人民医院心内科,上海200072

出　　处：《同济大学学报（医学版）》2007年第5期107-109,113,共4页Journal of Tongji University(Medical Science)

摘　　要：目的探讨经桡动脉途径冠脉造影术及介入治疗的效果及安全性。方法对本院2005年1月-2006年12月经桡动脉途径行冠脉造影术或介入治疗的529例患者临床资料作分析。结果桡动脉穿刺成功523例,成功率98.8%;桡动脉插管成功520例,成功率98.3%。经桡动脉冠状动脉介入治疗(transradial coronary interventions,PCI)187例,左主干病变3例(1.6%),单支血管病变50例,双支病变56例,三支病变78例。术中发生并发症14例(1.5%)。术后血管损伤并发症42例。结论经桡动脉途径冠状动脉介入诊疗血管穿刺部位并发症较少,患者术后体位不受限制、活动不受限,因此被逐渐掌握和在临床推广应用。Objective To study the feasibility and safety of transradial approach for coronary angiography and interventions. Methods Coronary angiography and interventions performed via transradial approach in 529 patients were reviewed, Results Transradial puncture succeed in 523 cases, and transradial intubations succeed in 520 cases. Transradial coronary interventions succeed in 187 cases, PCI outcomes showed 3 cases of left main coronary artery stenosis, 50 cases of single coronary arterial stenosis, 56 cases of double coronary arterial stenosis and 78 cases of triple coronary arterial stenosis . Fourteen cases occurred complications during PCI, and 42 cases occurred complications after PCI. Conclusion There was less local complications in transradial approach for coronary interventions. Transradial approach for coronary interventions seems to be feasible and safe, with a low risk of local complications and more comfort for patients.

关 键 词：桡动脉 冠状动脉介入治疗 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]