经桡动脉介入治疗冠心病的效果分析  

Clinical analysis of transradial approach for percutaneous coronary intervention

作　　者：李永超 邹剑杰[1] 

机构地区：[1]攀枝花学院附属医院心内科,四川攀枝花617000

出　　处：《现代医药卫生》2011年第16期2433-2434,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨常规经桡动脉行冠状动脉介入治疗(percutaneous coronary intervention,PCI)的临床疗效和安全性。方法:对我院617例常规经桡动脉行冠脉造影及PCI治疗患者的临床资料进行回顾性分析。结果:桡动脉穿刺成功率100%,经桡动脉冠脉造影及PCI成功率97%,术后并发症:皮下瘀斑面积>5 cm×5 cm的发生率2%,皮下血肿>1 cm×1cm的发生率为2%,迷走反射的发生率为0.6%,桡动脉闭塞的发生率为0.3%,无与穿刺相关的死亡病例,无全身大出血、动静脉瘘、手神经损伤患者。结论:经桡动脉途径行冠状动脉造影及介入治疗安全、有效,优点显著。Objective：To explore the safety and efficacy of transradial artery approach for percutaneous coronary intervention（PCI）.Methods：We performed a retrospective analysis on 617 cases of PCI through transradial approach from 2005 to 2010.Results：The transradial puncture success rate was 100%.The PCI success rate was 95%.In postoperative complications,the occurrence rate of ecchymosis more than 5cm×5cm was 2%,the occurrence rate of ecchymoma more than 1 cm×1cm was 2%,the occurrence rate of vagal reflex was 0.6% and the occurrence rate of radial artery occlusion was 0.3%.No one died after operation.None had severe complications such as arteriovenous fistula,thromboembolism and hemorrhage.Conclusion：PCI through transradial artery approach is safe and feasible with obvious merits.

关 键 词：桡动脉 冠状动脉 介入治疗 

分 类 号：R5[医药卫生—内科学]