经桡动脉途径行肾动脉造影及介入治疗的可行性研究

The Feasibility Study of Renal Arterial Angiography and Interventional Treatment Through Transradial Approach

目的:探讨经桡动脉途径行肾动脉造影及介入治疗的临床可行性。方法:386例患者经桡动脉途径行冠状动脉造影同时行非选择性肾动脉造影,并对肾动脉狭窄≥75%患者行介入治疗,386例患者分为两组:冠心病组(A组):298例,非冠心病组(B组):88例。结果:386例患者中,370例能够经右桡动脉途径在完成冠状动脉造影后完成肾动脉造影,16例需通过左桡动脉途径完成肾动脉造影。肾动脉狭窄性病变:A组94例,B组6例。40例患者经桡动脉途径行肾动脉支架植入成功。无穿刺部位血肿、假性动脉瘤等并发症发生。X线照射时间为(3.2±0.8)min,手术操作时间(20.4±3.8)min,对比剂用量(42.6±5.8)ml。结论:经桡动脉途径行冠状动脉造影同时行非选择性肾动脉造影对诊断肾动脉狭窄临床应用可行,经桡动脉途径行肾动脉介入治疗技术可行、并发症少,可成为肾动脉介入治疗或支架植入的另一途径。

Objective：To evaluate the clinical feasibility of transradial approach for renal arteriography and interventional therapy. Methods：386 cases were transradial coronary angiography simultaneously non-selective renal arteriography, and renal artery stenosis≥75%in patients with interventional therapy and 386 patients were divided into two groups：coronary artery disease（CAD） group（A）：298 cases of non-CAD group（B）：88 cases.368 patients underwent combined coronary angiography and non-selective renal arteriography thought radial artery approach, and did interventional therapy if the renal artery stenosis was more than 75%. Results： 386 cases of patients, 370 cases via the right radial artery can be completed after the completion of coronary angiography Renal arteriography and 16 patients required to complete through the left radial artery renal arteriography. Renal artery stenosis disease：A group 94 cases, 6 cases of B group. 40 patients transradial renal artery stenting was successful. No puncture site hematoma, pseudoaneurysm and other complications. X-ray irradiation time was （3.2＆#177;0.8）min, the operation time （20.4＆#177;3.8）min, the amount of contrast agent （42.6＆#177;5.8）ml. Conclusion：The application of transradial approach to underdo combined coronary artery angiography and non-selective renal arteriography to diagnosis of renal artery stenosis is feasible on clinical. Transradial interventional treatment of renal artery stenosis is technology reliable with less invasive, few complications, and may become an alternative intervention approach for the treatment of renal artery stenosis.