经皮桡动脉途径行冠脉造影和介入治疗685例的临床分析

目的研究经桡动脉对患者行冠状动脉造影(CAG)和经皮冠状动脉介入(PCI)治疗的可行性和安全性。方法 2007年10月～2010年10月的经桡动脉行冠状动脉造影(CAG)和经皮冠状动脉介入(PCI)治疗685例患者临床资料进行分析。结果经桡动脉穿刺成功670例,成功率为97.8%;桡动脉插管成功650例,成功率为94.9%。其中265例病人成功行冠状动脉介入治疗。术中、术后并发症:血管迷走反射3例,桡动脉痉挛30例,术后穿刺部位小血肿3例,前臂肿胀4例,桡动脉搏动减弱5例,未见其他不良并发症。结论 经桡动脉行CAG和PCI血管穿刺部位并发症少,患者术后体位不受限制,活动不受限制。

Objective To discuss the feasibility and safety of transradial CAG and PCI. Methods The clinical materials of 685 cases of CAG and PCI patient from October 2007 to October 2009 in our hospital were analyzed. Results There were 670 cases succeeded with 97.8% in puncture and 650 cases succeeded with 94.9% in catheter. Interventional therapy was performed in 265 cases. There were 3 cases of vagus nerve reflex, 30 cases of radial artery spasm, 3 cases of local hematoma, 4 cases of forearm edema and 5 cases of weakness pulse 1. Conclusion There might be less complication in transradial AG and PCI without limit of movement.