经桡动脉途径行冠状动脉造影和腔内成形术及其并发症处理

Percutaneous interventional treatment of transradial coronary angiography and its complications

目的:探讨经桡动脉途径行冠状动脉造影及介入治疗及并发症处理方法。方法:对486例冠状动脉病变患者进行选择性冠状动脉造影,术前进行Allen试验阳性后选右侧桡动脉为穿刺点,行左右冠状动脉造影。结果:造影示冠状动脉正常85例(其中肌桥25例),单支病变192例,双支血管病变137例,多支病变72例。植入支架378例,其中329例(87.04%)经桡动脉途径手术成功,另外49例改经股动脉途径手术成功。术中、术后并发症较少,术后桡动脉搏动正常。结论:经桡动脉途径行经皮冠状动脉造影及介入治疗是安全、有效,是股动脉穿刺冠状动脉造影介入治疗的有效补充。

Objective：Exploration of percutaneous interventional treatment of transradial coronary angiography and its complications.Methods：Coronary angiography was carried out in 486 patients with coronary syndrom.Aliens test positive was done for all before dextra transradial artery was chosen to be the puncture point for sinistral and dextral coronary angiography.Results：Though coronary angiography,it showed 85 cases（including 25 cases of muscle bridge）were normal,192 cases are single vessel disease,137 cases are double vessel disease,72 cases were multi-vessel disease;Among them,15 cases were left main coronary artery lesions,63 cases were anterior descending artery and left circumflex artery lesion,51 cases were anterior descending coronary artery and right coronary artery lesions,23 cases were circumflex coronary artery and right coronary artery lesions.There were 378 cases in the treatment of adding interventional stent,and 329 cases（87.04%）through transradial approach are successful;while others were through the femoral artery approach with failure.Less post-operative complications during/after operation,the radial artery pulse was normal.Conclusions：The interventional treatment of transradial coronary angiography is a safe and effective practice.