经桡动脉途经行冠状动脉介入治疗及并发症分析

Complication of Percutaneous Coronary Intervention through Radial Artery

目的:观察经桡动脉实施冠状动脉介入治疗(percutaneous coronary intervention,PCI)的并发症发生情况、处理措施。方法:观察因不稳定性心绞痛及急性心肌梗死经桡动脉行PCI的186例患者,观察术中及术后有无大出血,局部血肿,血栓形成,动脉瘤,动静脉瘘等并发症发生。结果:发生各种并发症15例,发生率为8%,其中压迫止血不当产生的出血5例,均为少量出血;穿刺点周围血肿5例,1例发生较为严重的血肿;桡动脉局部血栓形成4例;假性动脉瘤1例。结论:经桡动脉行PCI穿刺血管损伤并发症在临床不少见,处置措施重在预防,强调及早发现,及时处理。

Objective： To observe the complication of percutaneous coronary intervention （PCI） through radial artery. Methods： A total of 186 patients with unstable angina （UA） and acute myocardial infarction （AMI） were treated for successful PCI through radial artery. The complication such as hemorrhage, hematoma, thrombus, aneurysm, arteriovenous fistula were observed. Results： The complication occurred in 15 patients （8%）. Five cases with hemorrhage, five cases with hematoma, one cases with severity hematoma, four cases with thrombus in radial artery, one cases with severity arterlovenous fistula were included, Conclusion： The key of diminishing complication of PCI ascribes to morning prevention and cure.