【摘要】 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。更多还原

【Abstract】 Objective: To summarize the clinical characteristics of coronary angiography via radial artery pathway in outpatients. Methods: The clinical data of 300 patients,who underwent coronary angiography via radial artery pathway in the Department of Cardiology,Guangzhou Panyu Hexian Memorial Hospital between October 2012 and October 2016,were analyzed retrospectively. Results: The average age of the patients was( 58.6±15.3)years; the male patients accounted for 71. 0%. The success rate of radial artery puncture with arterial sheath placement was 100%( 300/300). The turnover rate from right radial artery to left radial artery was 1. 33%( 4/300).The success rate of coronary arteriography was 99.66%( 299/300),and the single catheter completion rate was 95.32%. The intraoperative and postoperative main adverse events were radial artery spasm( 3. 67%,11/300),coronary artery spasm( 1. 67%,5/299) and hematoma in upper limbs of the puncture side( 2. 0%,6/300),and all patients showed good prognosis. In 299 patients who underwent coronary arteriography,the incidence of abnormal coronary angiographic findings was 35.45%( 106/299),including 9.36%( 28/106) cases of single vessel disease,15.1%( 45/106) of double-vessel disease,10.37%( 31/106) of triple-vessel disease,and 0.67%( 2/106) of left main artery disease. The positive detection rate of coronary angiography was unstable angina>stable angina> suspicious coronary heart disease> regular review after PCI. Conclusion: The use of radial artery technique in coronary angiography shows high success rate and mild adverse reactions. It can provide diagnostic and therapeutic basis for patients rapidly and effectively.更多还原