经桡动脉冠状动脉成形和支架置入术102例临床体会

Trans- radial approach for percutaneous intervention therapy in 102 patients with coronary heart disease

目的探讨在基层医院开展经桡动脉冠状动脉成形和支架置入术的可行性和安全性。方法回顾2012年6月至2014年6月在我院住院的102例冠心病患者经桡动脉行冠状动脉成形和支架置入术的病例资料。结果 102例患者中,99例完全由桡动脉途径完成,3例改股动脉途径完成,桡动脉成功率97%。1例发生轻度出血,1例发生迷走反射,桡动脉途径并发症为0.019%。结论经桡动脉行冠状动脉成形和支架置入术,可以作为基层医院行冠状动脉成形和支架置入术的安全途径。

Objective To evaluate the feasibility and safety of trans - radial approach for percutaneousintervention therapy in patients with coronary heart disease in primary hospital. Methods Datas of 102 consecutive cases, those who with CHDwere enrolled and underwent radial approach for percutaneousintervention therapy, were reviewed. Results 99 cases were successful from radial approach,3 cases were through formal arteryapproach ,thesuccessful rate was 97%. Bleedingoccurred in one caseand there one case of vagus reflexwas occurred. Conclusions Trans - radial approach for percutaneousintervention in patients with coronary heart disease is safe and feasible and it is worthwhile for us in primary hosnital_