经桡动脉途径行冠状动脉支架植入的研究  

Implantation of the Coronary Artery Stents via the Radial Artery

作　　者：苗云江[1] 王东方[1] 杨波[1] 计晓玲[1] 王秀芝[1] 满荣海[1] 凌玮[1] 王丽琴[1] 王木红[1] 杨华志[1] 

机构地区：[1]赤峰市医院心内科,内蒙古赤峰024001

出　　处：《内蒙古医学杂志》2002年第6期474-476,共3页Inner Mongolia Medical Journal

摘　　要：目的 :探讨经桡动脉途径行冠状动脉支架植入治疗的可行性和安全性。方法 :选择我院 2 0 0 1年12月～ 2 0 0 2年 6月住院、Allen′s试验阳性病人 2 2例 ,使用 6F桡动脉鞘行PTCA、支架植入。结果 :成功 2 0例中发现病变 33处 ,对其中 2 9处进行了治疗 ,单纯PTCA 4处 ,2 5处病变植入支架 2 7枚。经统计学处理 ,提示术前狭窄 87 4 %± 7 9% ,术后无残余狭窄。平均桡动脉穿刺时间为 2 8± 1 6min ,一次桡动脉穿刺成功率 90 % ,术前和术后 2 4hAllen′s试验时间无显著性差异 ,并发症少。结论 :本研究提示 ,经桡动脉途径植入冠状动脉支架安全可行 ,手术成功率高 ,血管并发症少 ,无需限制体位 。Objective:We aimed to get experiences of implantation of coronary artery stents via the radial artery and evaluate its feasibility and safety.Methods:22 Allen′s positive cases were treated,who were admitted during the period of December,2001 to June,2002.PTCA stents were implanted and 6F radial artery sheath system was used.Results:Among the 20 successful cases,33 lesions were found,29 of which were treated.Single PTCA were four.27 stents were implanted in 25 vessel lesions.The statistics showed that vessel stenosis before the implantation was 87.4%+7.9% and the residual stenosis after the implantation was not found.The average time of radial artery puncture was 2.8+1.6minutes.The successful rate of the radial artery puncture in the first time was 90%.There were no remarkable differences in allen′s test fime between the 24 hours before and after the implantation and its complications were rare.Conclusion:The results showed that the method was a safe and feasible approach with advantages of high successful implantation rate,few vessel complications and unnecessary postural limitation and it might be the main choice in the implantation of coronary stents.

关 键 词：桡动脉 冠状动脉支架植入 冠心病 介入治疗 

分 类 号：R815[医药卫生—放射医学] R541.4[医药卫生—临床医学]