摘要
目的:分析经桡动脉冠状动脉造影产生并发症的原因及预防处理措施。方法:回顾2007年10月~2010年12月我院1 000例经桡动脉行冠状动脉造影的患者,记录手术并发症及预防治疗措施。结果:桡动脉痉挛94例(9.4%),男性43例(6.7%),女性51例(15%),性别比差异有统计学意义(P<0.05)。鞘管或导管拔出困难4例(0.4%);低血压15例(1.5%),严重心律失常11例(1.1%),其中室颤3例、缓慢性心律失常8例。穿刺部位血肿16例(1.6%),前臂张力性血肿5例(0.5%);桡动脉闭塞10例(0.1%)。结论:桡动脉内反复导管操作易发生痉挛。桡动脉造影极少有严重并发症,局部并发症发生率低。冠状动脉造影术前后如处理不当可能引起多种并发症,熟练的操作技术、严密的术中监测和有效的抢救措施是降低并发症发生的关键。
Objective:To Ananlyze the Complications of Coronary Angiography Throngh Radial Approach.Methods:We retrospectively reviewed data from 1000 patients who were undergone radial angiography at our institution from December 2007 to November 2010.Baseline clinical and procedural data were recorded.Results:All complications were seen in 14.6%of procedures.The incidence rate of Radial artery spasm was 9.4%.The incidence rate of Ventricular fibrillation,Low blood press,Severe forearm bleeding and hematoma,radial artery occlusion was 0.3%,1.5%,1.6%,0.1%,respectively.Conclusion:The Right radial artery is prone to spasm.Larger artery occlusion and anatomical variation are seldom.Severe complication is rare.Transradial approach for coronary intervention is a safe and elective approach so long as the patient is indicared.
出处
《农垦医学》
2011年第1期57-59,共3页
Journal of Nongken Medicine
关键词
冠状动脉造影
桡动脉
并发症
Coronary Angiography
Complications
Radialar tery