经左侧桡动脉行冠状动脉造影检查和介入治疗的疗效分析  

Percutaneous trans-left radial approach for angiography and angioplasty

作　　者：马风云[1] 陈步星[1] 罗维[1] 孙淑红[1] 赵希哲[1] 王枫[1] 高光敏[1] 郭旭梅[1] 

机构地区：[1]北京电力医院心内科,北京市100073

出　　处：《中国心血管病研究》2008年第11期816-818,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的观察经左侧桡动脉途径行冠状动脉造影检查和介入治疗的可行性和安全性。方法273例患者接受左侧桡动脉途径行冠状动脉造影检查及介入治疗,冠心病不稳定型心绞痛129例,心肌梗死61例,其中急性心肌梗死24例、陈旧心肌梗死37例,胸痛待查83例。结果冠心病185例,冠脉三支病变52例,双支病变54例,单支病变79例,正常冠脉88例。对其中111例患者的143支血管155处病变行介入治疗,置入支架152枚。经左侧桡动脉介入治疗成功率98.2%(268/273)。不成功的5例改用股动脉途径后行介入治疗均获成功。结论经左侧桡动脉途径行冠状动脉造影检查和介入治疗是一种安全、有效、可行的治疗方法。Objective To evaluate the practical clinical applicability and safety of angiography and angioplasty perform through the left radial artery. Methods 273 patients undergoing angiography and angioplasty perform through the left radial artery.129 of them had unstable angina,61 had myocardial infarction,83 had chest pain. Results 165 patients had coronary artery disease, 3-vessel in 52,2-vessel 54,1-vessel in 79 ,normal in 88,respectively.111 of them interventions were performed in total 143 target vessels and 155 target lesions and 152 stents were implanted. The total success rate was 98.2% for trans-left radial approach. The interventions in 5 cases failed by trans-left radial but succeeded by trans-femoral there after. Conclusion Trans-left radial approach for angiography and angioplasty is safe and effective approach .

关 键 词：左侧桡动脉 冠状动脉造影 冠状动脉介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病]