经桡动脉无鞘介入技术在冠状动脉分叉病变治疗中的应用  

Application of transradial sheathless interventional technique in treatment of bifurcation coronary lesions

作　　者：徐日新[1] 刘晓东[1] 谢勇[1] 廖清池[1] 程铖[1] 吴彩凤 

机构地区：[1]江苏省苏北人民医院心内科,江苏扬州225001

出　　处：《实用医学杂志》2018年第2期262-264,共3页The Journal of Practical Medicine

摘　　要：目的总结经桡动脉无鞘技术在冠状动脉分叉病变介入治疗中的经验与体会。方法回顾分析39例冠状动脉复杂分叉病变患者,采用ASAHI公司无鞘指引导管或利用"无鞘"技术自制无鞘指引套管,经桡动脉途径行实施PCI的临床资料,观察无鞘指引管通过性、PCI成功率和并发症。结果左主干末端分叉病变10例,前降支(LAD)与对角支(D)分叉病变29例。33例患者使用7.5F无鞘指引导管;6例使用7F自制无鞘指引套管,PCI均获成功。39例患者住院期间无心脑血管事件及桡动脉置管相关并发症发生。结论经桡动脉无鞘技术应用于冠状动脉复杂分叉病变的介入治疗中,7.5F无鞘指引导管使用方便,通过性好,自制无鞘指引套管方法有效、安全,可行性强,值得临床推广应用。Objective To summarize the experience of applying transradial sheathless technique in treat- ment of bifurcation coronary lesions. Methods The clinical data on 39 patients with bifurcation coronary lesions who received transradial PCI using sheathless guide catheter produced by ASAHI or self-made sheathless guide catheter were retrospectively analyzed. Passing ability of sheathless guide catheter, success rate and complications of PCI were observed. Results There were 10 patients with left main bifurcation lesions, 29 left anterior descend- ing branch and diagonal branch bifurcation lesions. 33 patients were treated using sheathless of 7.5 Fr and 6 were treated by self-made sheathless guide catheter. PCI achieved expected goal. No catheter placement related complica- tions, cardiovascular or eerebrovascular events were observed in 39 patients in their hospital stay. Conclusions Transradial sheathless technique can be applied in of coronary lesions. Sheathless of 7.5 Fr is easy to use and has perfect passing ability. Sheathless guide catheter is effective, safe and highly practicable. Both procedures are worth of clinical application.

关 键 词：无鞘指引导管 桡动脉 冠状动脉疾病 经皮冠状动脉 

分 类 号：R541.4[医药卫生—心血管疾病]