经桡动脉行冠状动脉介入治疗的成功率和安全性  

Safety and effect of radial artery approach for coronary angiography and angioplasty

作　　者：Abdool Russeed Ziyad Sondagur 王晖[1] 曹云山[1] 林胜辉 李新立[1] 

机构地区：[1]南京医科大学第一附属医院心脏科,210029

出　　处：《中华心脏与心律电子杂志》2014年第3期42-44,共3页Chinese Journal of Heart and Heart Rhythm(Electronic Edition)

摘　　要：目的评价经桡动脉行冠状动脉造影（CAG）和冠状动脉介入手术治疗（PCI）的有效性和安全性。方法本研究为单中心研究，连续入选南京医科大学第一附属医院2012年8月至2013年7月冠心病或疑诊冠心病患者2845例。所有患者PCI术前行Allen试验。剔除Allen试验异常、心源性休克、透析患者和外国人。结果男性1628例（57．2％），女性1217例（42．8％），平均年龄为（64±8）岁。其中高血压1537例（54．0％）患者，糖尿病501例（17．6％）患者，6例（0．002％）患者既往有冠脉搭桥病史。1416例患者行CAG（49．8％），1429例患者行PCI（50．2％）。CAG和PCI成功率分别为97．6％和96．3％。7例（0．25％）患者出现小血肿，49例（1．7％）患者术后3～4h桡动脉搏动减弱。结论经桡动脉PCI治疗安全可行，应该作为PCI治疗首选入路。Objective To evaluate the safety and effect of transradial coronary angiography and angioplasty. Methods In this study, a total of 2845 consecutive patients were enrolled in a single interventional center at the first affiliated hospital, Nanjing Medical University, in Nanjing from August 2012 to July 2013. All patients did Allen＇s test in this study. Patients, who had abnormal Allen＇s test, eardiogenic shock, hemodialysis, were excluded. We aimed at determining the efficacy and complications of coronary angiography （CAG） and percutaneous coronary intervention （PCI） through the radial approach in our center. Results In this study, a total of 1628 males were enrolled and 1217 females. The mean age of enrolled patients was （64 ±8） years. There were 1537 patients （54.0%） with hypertensive, 501 patients （ 17.6% ） with diabetic, and 6 patients （0. 002% ） with previous coronary artery bypass surgery. Patients had no any bleeding disorder. CAGs were done in 1416 patients （49.8%） and PCIs in 1429 （50.2%）. The success rate was 97.6% for CAG and 96.3% for PCI. Seven patients （0.25%） had minor hematoma and 49 patients （ 1.7% ） had reduced radial pulse 3-4 hours post procedure. Conclusion Transradial coronary intervention is safe and practical. It should be favored over femoral artex3, as an initial access point.

关 键 词：冠状动脉疾病 血管成形术 经腔 经皮冠状动脉 桡动脉 

分 类 号：R541.4[医药卫生—心血管疾病]