论文部分内容阅读
目的:探讨经桡动脉途径行冠状动脉造影(CAG)的可行性与安全性。方法:收集经桡动脉途径行CAG的患者230例,应用血管彩色多普勒技术在术前及术后1~3个月测量桡动脉舒张期内径,并结合血流频谱评价桡动脉有无发生狭窄。结果:所有患者均无动脉血肿、假性动脉瘤、动-静脉瘘、手部缺血等并发症。其中21例患者出现桡动脉狭窄,占9%,其余病例CAG前后桡动脉内径未发生显著性的变化[术前(2.37±0.64)mm,术后(2.32±0.61)mm,P>0.05]。多元回归分析显示,桡动脉狭窄的主要危险因素为桡动脉多次穿刺和糖尿病。结论:经桡动脉CAG安全可行。
Objective: To investigate the feasibility and safety of transradial approach to coronary artery angiography (CAG). Methods: Totally 230 patients with CAG via radial artery were collected. The diastolic diameter of radial artery was measured preoperatively and 1 ~ 3 months after operation by using vascular color Doppler flow imaging. The presence or absence of radial artery narrow. Results: All patients had no arterial hematoma, pseudoaneurysm, arteriovenous fistula, hand ischemia and other complications. Radial artery stenosis occurred in 21 of the 21 patients, accounting for 9%. There was no significant change in the diameter of the radial artery before and after CAG [2.37 ± 0.64 mm] before surgery and 2.32 ± 0.61 mm after surgery (P> 0.05). Multiple regression analysis showed that the main risk factors for radial artery stenosis were multiple radial puncture and diabetes. Conclusion: Transradial CAG is safe and feasible.