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目的:总结门诊经桡动脉路径冠状动脉造影技术的应用特点。方法:回顾性分析2012年10月至2016年10月在广州市番禺何贤纪念医院心内科门诊连续行经桡动脉路径冠状动脉造影术的300例患者的临床资料。结果:患者平均年龄(58.6±15.3)岁;男性占71.0%;手术桡动脉穿刺置鞘成功率100%(300/300),右桡到左桡转换率1.33%(4/300),冠脉造影成功率99.66%(299/300),单导管完成率95.32%;术中术后主要不良事件是桡动脉痉挛(3.67%,11/300)、冠状动脉痉挛(1.67%,5/299)和穿刺侧上肢血肿(2.0%,6/300),均预后良好;在299例完成冠脉造影的患者中,造影结果异常的发生率35.45%(106/299),其中单支病变9.36%(28/106)、双支病变15.1%(45/106)、三支病变10.37%(31/106)、左主干病变占0.67%(2/106);冠脉造影阳性发现率依次是:不稳定心绞痛>稳定心绞痛>可疑冠心病>PCI术后定期复查。结论:门诊应用桡动脉技术进行冠状动脉造影术成功率高,不良反应轻微,可快速、高效地为患者提供诊断治疗依据。
OBJECTIVE: To summarize the characteristics of coronary artery angiography using radial artery in clinic. Methods: The clinical data of 300 consecutive patients undergoing radial artery coronary angiography from October 2012 to October 2016 in the Department of Cardiology, Panyu He Xian Memorial Hospital were retrospectively analyzed. Results: The average age of the patients was 58.6 ± 15.3 years. The male patients accounted for 71.0%. The successful rate of radial artery puncture and sheath sheath insertion was 100% (300/300), the right radial to left radial conversion rate was 1.33% (4/300) The success rates of angiography were 99.66% (299/300) and 95.32% of single catheters. The main postoperative adverse events were radial artery spasm (3.67%, 11/300), coronary artery spasm (1.67%, 5/299) and The incidence of abnormal angiography results was 35.45% (106/299) in 299 patients who underwent coronary angiography, in which the incidence of single vessel disease was 9.36% (28 / 106), 15.1% (45/106) of double-vessel disease, 10.37% (31/106) of three-vessel disease and 0.67% (2/106) of left main disease. The positive rates of coronary angiography were unstable angina pectoris > Stable angina> Suspected coronary heart disease> Periodic review after PCI. Conclusion: The success rate of coronary artery angiography with radial artery technique in outpatient department is high, with mild adverse reactions. It can provide the basis for diagnosis and treatment to patients quickly and efficiently.