经左桡动脉与经股动脉行冠状动脉桥血管造影对比分析  

Comparative analysis of left trans-radial approach and trans-femoral approach in coronary bypass graft vessel angiography

作　　者：王斌[1] 韩雅玲[1] 王效增[1] 荆全民[1] 梁振洋[1] 马颖艳[1] 王耿[1] 刘海伟[1] 赵昕[1] 徐凯[1] 邓捷[1] 关绍义[1] 

机构地区：[1]沈阳军区总医院心血管病研究所心血管内科,辽宁沈阳110016

出　　处：《中国介入心脏病学杂志》2015年第1期11-13,共3页Chinese Journal of Interventional Cardiology

基　　金：沈阳军区总医院基金资助(09Y-Q01)

摘　　要：目的研究经左桡动脉行冠状动脉桥血管造影的可行性。方法收集沈阳军区总医院心血管内科自2012年1月至2014年6月冠状动脉旁路移植术(coronary artery bypass grafting,CABG)后行冠状动脉桥血管造影的患者45例,按造影入径分为经左桡动脉组(13例)和经股动脉组(32例)。观察造影成功率、完成静脉桥造影时间、完成左乳内动脉(left internal mammary artery,LIMA)造影时间、术中造影导管数量及对比剂用量;术后穿刺点局部有无出血、血肿、假性动脉瘤及动静脉瘘等并发症。结果两组患者造影成功率比较差异无统计学意义;完成静脉桥造影时间、术中导管应用数量及对比剂用量亦差异无统计学意义;完成LIMA造影时间经桡动脉入径与经股动脉入径比较,差异有统计学意义[(4.7±4.4)min比(9.6±6.3)min,P=0.023];两组患者术后并发症发生率差异无统计学意义。结论经左桡动脉行冠状动脉桥血管造影可行,尤其行LIMA造影操作简单,用时短。Objective To investigate the feasibility of coronary graft vessel angiography by the left radial approach. Methods Forty-five patients with coronary artery bypass grafting（ CABG） history were enrolled from January,2012 to June,2014. All the patients were divided into two groups according to the angiography approach. Coronary bypass graft angiographies in one group of 13 patients were done by the left radial approach and in another group of 32 patients were done by the femoral approach. Success rate of angiography,time of vein graft angiography,time of left internal mammary artery（ LIMA） angiography,numbers of catheters and volume of contrast used were observed. The complications at the puncture point including hemorrhage,hematoma,false aneurysm,arteriovenous fistula were recorded. Results There were no difference in success rate of angiography,time of vein graft angiography,numbers of conduct and volume of contrast used between the two groups. The time of LIMA angiography was shorter in the left radial approach group than it in the femoral approach group [（ 4. 7 ± 4. 4） min vs.（ 9. 6 ± 6. 3） min,P =0. 023） ]. There was no difference in complication after procedure between the two groups. Conclusions It is feasible that the coronary bypass graft vessel angiography is done by the left radial approach,especially for the LIMA angiography because of less time and simple manipulate. The bypass graft vessel angiography done by the left radial approach should be the first choice for the experienced manipulator.

关 键 词：冠状动脉造影 桥血管 桡动脉 股动脉 

分 类 号：R541.4[医药卫生—心血管疾病]