经左、右桡动脉途径行选择性冠状动脉和肾动脉造影的临床对比研究  

Comparison of Left and Right Radial Artery as an Approach for Selective Coronary and Renal Angiography

作　　者：陈小卫[1] 黄志文[1] 田丽红[1] 吴铿[1] 

机构地区：[1]广东医学院附属医院心内科,广东湛江524001

出　　处：《临床医药实践》2010年第7X期842-844,共3页Proceeding of Clinical Medicine

摘　　要：目的:比较经左、右桡动脉途径进行选择性冠状动脉和肾动脉造影的优缺点。方法:55例在我院进行选择性冠状动脉和肾动脉造影的患者,按照介入径路随机分为左桡动脉组(27例)和右桡动脉组(28例),应用5FTerumo左右共用型冠状动脉造影导管依次行选择性冠状动脉造影和双侧肾动脉造影,比较其手术操作时间、X线暴露时间、成功率、并发症发生率并进行统计学处理。结果:左、右桡动脉组手术操作时间、X线暴露时间、选择性冠状动脉造影成功率和并发症发生率均无统计学意义,而经左桡动脉途径行选择性肾动脉造影成功率明显高于经右桡动脉途径,两者差异有统计学意义(P<0.05)。结论:经左桡动脉途径行选择性冠状动脉和肾动脉造影成功率高,安全可行,临床上对于需同时行选择性冠状动脉造影和肾动脉造影的患者,可作为首选介入径路。Objective:To compare the advantages and disadvantages of left and right radial atrery as an approach for selective coronary and renal angiography.Methods:55 cases of patients were randomly devided into left radial group(LRG,27 cases) and right radial group(RAG,28 cases) by intervention approach and unertwent sequential selective coronary and renal angiography with a 5F Terumo universal catheter.The duration of X-ray uoroscopy and procedure and the success rate and complications were compared statistically between the two groups.Results:There is no statistical difference in the duration of X-ray uoroscopy and procedure and success rate of selective coronary angiography and complication rate between them,while the success rate of selective renal angiography of LRG was higher than that of RRG and the difference was of statistical significance(P<0.05).Conclusion:By left radial artery approach sequential selective coronary and renal angiography with one universal catheter is feasible and safe and it can be selected as a preferential intervention approach under such clinical circumstances.

关 键 词：桡动脉 冠状动脉造影 肾动脉造影 共用型导管 

分 类 号：R541.4[医药卫生—心血管疾病]