经桡动脉行冠状动脉介入治疗的临床分析

Clinical analysis of transradial approach for coronary intervention

目的探讨经桡动脉行冠状动脉介入治疗的效果。方法回顾性分析我院189例经桡动脉介入治疗患者的临床资料。结果189例患者均经桡动脉入路进行穿刺置管，成功176例（93．12％）。13例因桡动脉严重痉挛经注射硝酸甘油、利多卡因、维拉帕米仍无法送管而改为股动脉入路完成介入治疗。桡动脉狭窄3例，术后除10例发生局部手臂肿胀、6例因桡动脉压迫器压迫出现水泡外，无急性冠状动脉闭塞、动静脉瘘、上肢缺血、手神经损伤、大出血等并发症发生。结论经皮桡动脉穿刺行冠状动脉造影术及介入治疗，成功率高，并发症少，值得在临床推广应用。

Objective To observe the clinical effect of transradial approach for coronary intervention. Methods The clinical data of 189 patients accepted transradial coronary intervention were analyzed retrospectively. Results Transradial catheterizations were performed in 189 patients,while 176 cases had satisfying result, the success rate was 93. 12%. Thirteen patients had severe spasticity in radial artery,which could not be released from injection of nitroglycerin, lidocaine, verapamil, alternatively they accepted transfemoral artery coronary intervention. After the operation 3 cases had radial artery stricture, 10 cases had local arm swelling ,6 cases had blisters from the device oppression. No acute coronary occlusion, arteriovenous fistula, upper limb isehemia, hand nerve damage, bleeding or other complications were observed in the cases enrolled, Conclusion The transradial approach for coronary angiography and intervention showed high success rate,few complication,indicating good clinical application promise.