经桡动脉同时行冠状动脉和肾动脉造影的可行性探讨

Combined Coronary and Renal Artery Angiography Throught Transradial Approch

近年来经桡动脉途径行冠状动脉造影和介入治疗普遍开展,尤其经右桡动脉途径,操作方便,易为患者接受,最为常用。但临床常用的TIG共用导管及Judkins造影导管,常因导管长度不够而不适宜经桡动脉途径行肾动脉造影。

Objective To investigate the feasibility and safety of Combined coronary and renal artery angiography throught left or right transradial approch. Methods 120 cases of patients were randomly divided into left radial group（52 cases） and right radial group（68 cases） by intervention approach and undertwent combined coronary and renal artery angiography with lengthening Judldns catheter （Cordis, 125cm）. The operating time, dosage of contrast agent, duration of X-ray fluoroscopy, the success rate and complications were compared statistically between the two groups. Results The operating time and duration of X-ray fluoroscopy was lower in left ra- dial group than right radial group （P 〈 0.01,P 〈 0.05） .There is no statistical difference in the dosage of contrast agent and success rate and complication rate between the two groups . Conclusions By left radial artery approach combined coronary and renal artery an- giography is feasible and safe and it can be selected as a preferential intervention approach under such clinical circumstances.