经左、右桡动脉同时行冠状动脉、肾动脉和下肢动脉造影的可行性探讨

Combined coronary, renal and lower limb artery angiography through left or right radial artery

目的 探讨经左、右桡动脉途径同时行选择性冠状动脉、肾动脉和下肢动脉造影的可行性.方法 59 例在我院进行选择性冠状动脉、肾动脉和下肢动脉造影的患者,按照介入径路不同分为左桡动脉组（28 例）和右桡动脉组（31 例）,应用加长Judkins造影导管（125cm）依次行选择性冠状动脉造影、双侧肾动脉和下肢动脉造影,比较手术操作时间、对比剂用量、X 线暴露时间、成功率、并发症发生率.结果 左桡动脉组手术操作时间和X 线暴露时间（30.48±5.71）min、（11.05±2.86）min,显著低于右桡动脉组（40.72±8.30）min、（13.51±4.33）min（均P＜0.05）,对比剂用量、造影成功率和并发症发生率差异无统计学意义（均P＞0.05）.结论 经左桡动脉途径同时行选择性冠状动脉、肾动脉和下肢动脉造影效率高,安全可行,临床上对于需同时行选择性冠状动脉、肾动脉和下肢动脉造影的患者,可作为首选介入径路.

Objective To investigate the feasibility of combined coronary, renal and lower limb artery angiography through left or right radial artery as an approach. Methods Fifty nine patients undergoing combined coronary, renal and lower limb artery angiography were randomly divided into left radial group （28 cases） and right radial group （31 cases）. The lengthening Judkins catheter （125cm） was used in the procedures. The operating time, dosage of contrast agent, duration of X-ray fluoroscopy, the success rate and complications were compared between two groups. Results The operating time and duration of X-ray fluo- roscopy （ 30.48 ＋ 5.71rain and 11.05 ~ 2.86min ） was lower in left radial group than those in right radial group （40.72 ~ 8.30rain and 13.51 ＋4.33min;P〈O.O5）.There were no significant differences in dosage of contrast agent,success rate and complication rate between two groups. Conclusion By left radial artery approach the combined coronary, renal and lower limb artery angiography is feasible and safe, which can be chosen as a preferential intervention procedure under such clinical circumstances.