经桡动脉径路冠状动脉介入诊疗的初步评价

The primary evaluation of application of the trans-radial coronary arteriography

目的初步评价经桡动脉进行冠状动脉介入诊疗临床应用的优缺点。方法经桡动脉冠状动脉介入40例,与股动脉径路42例比较。结果与股动脉径路对比,桡动脉穿刺时间稍长,术后血管加压包扎时间、术后卧床时间和住院时间均较经股动脉进行同类手术时间短,术后出血并发症少,住院费用相对减少。右侧头臂千和锁骨下动脉变异、弯曲导致2例手术困难,1例改由股动脉径路手术。缺点是经右侧桡动脉途径无法进行左侧颈动脉及左锁骨下动脉选择性造影,常规导管亦无法进行选择性肾动脉造影。结论经桡动脉进行冠状动脉介入诊疗方法有一定优点,值得临床推广应用。

Objectives To evaluate the clinical application of the trans-radial coronary arteriography. Methods Trans-radial coronary arteriography in 40 cases was performed, which was compared with trans-femoral cases. Results Compared with trans-femoral coronary arteriography, the time of radial puncture was longer, the time of blood vessel bandaging, patients lying in bed, stayed in hospital after the operations was shorter, and the vessel bleeding cases were fewer in trans-radial cases. The cost was lower too. But the operation was very difficult when the right brachiocephalic trunk was variation or the subclavian artery had abnormal bends. To puncture the right radial artery wasn＇t suitable for selective left carotid artery or left subclavian artery and renal angiography. Conclusions Trans-radial coronary arteriography method is worth in the spread of clinical application.