经桡动脉数字减影血管造影术在老年脑血管病患者中的临床应用  

Application of transradial DSA in elderly patients with cerebrovascular diseases

作　　者：刘高飞[1] 李达文[1] 朱敏[1] 夏磊[1] 

机构地区：[1]解放军第八一医院神经内科,南京210002

出　　处：《中华老年心脑血管病杂志》2013年第11期1181-1183,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的在老年脑血管病患者中评估经桡动脉穿刺数字减影血管造影术的可行性及安全性。方法选择行全脑血管造影术的脑血管病患者200例,按血管入路随机分为桡动脉组100例和股动脉组100例,对比分析2组穿刺成功率、选择性造影成功率、曝光时间、并发症发生率。结果桡动脉组穿刺成功率及并发症发生率明显低于股动脉组(93.0%vs 100.0%,4.0%vs 10.0%,P<0.05),曝光时间明显长于股动脉组[(10.26±2.23)min vs(4.57±1.07)min,P<0.01],2组造影成功率比较,差异无统计学意义(P>0.05)。结论经桡动脉穿刺行数字减影血管造影术可以在老年脑血管病患者中开展,但是其操作难度及时间增大。Objective To assess the feasibility and safety of transradial DSA in elderly patients with cerebrovascular diseases. Methods Two hundred patients with cerebrovascular diseases who underwent DSA were divided into transradial DSA group （n= 100） and transfemoral DSA group （n=100）. Their exposure time to X-ray and success rate of puncture and selective angiohraphy and incidence of complications were compaired and analyzed. Results The success rate of puncture and the incidence of complications were significantly lower whereas the exposure time to X-ray was significantly longer in transradial DSA group than in transfemoral DSA group （93.0% vs 100.0%,4.0% vs 10. 0%,P〈0. 05;10. 26±2. 23 min vs 4.57±1.07 min,P〈0.01） with no significant difference in success rate of DSA between the two groups （P〉0.05）. Conclusion Transradial DSA can be performed in elderly patients with cerebrovascular diseases although it is difficult to operate and spends a long time.

关 键 词：脑血管障碍 桡动脉 穿刺术 血管造影术 数字减影 

分 类 号：R743[医药卫生—神经病学与精神病学]