摘要
目的探讨使用1.33mm(4F)造影导管经桡动脉入路行诊断性冠状动脉造影的可行性。方法选择经桡动脉入路冠状动脉造影患者138例,术后随访2周至1个月,观察操作过程、造影图像质量、术中及术后并发症。结果造影成功率为97.7%;X线透视时间5.05±3.23min,操作总时间20.51±3.37min;造影导管到位固定不佳10例(7.8%),超选12例(9.4%);造影图像质量评分前降支2.87±0.40分,回旋支2.88±0.39分,右冠状动脉2.90±0.35分;术中桡动脉痉挛6例(4.3%),冠状动脉痉挛2例(1.5%),术后无桡动脉闭塞。结论合理选择病例使用1.33mm造影导管经桡动脉行冠状动脉造影导管操作、控制方便,造影图像质量好,血管并发症少。
Objective To assess the feasibility of coronary angiography by transradial approach with 4 F catheter. Methods The procedural details, picture quality and local complication of coronary angiography by transradial approach with 4 F catheter in 138 patients were recorded and analyzed. Results The success rate of angiography was 97.7%. Mean fluoroscopy time was 5.05 ± 3.23 minutes with total procedural time was 20. 51 ± 3.37 minutes. The incidence of dislodgement and excessive engagement of either coronary artery was 7. 8% and 9.4% repectively. The angiographic scores for left anterior descending, circumflex and fight coronary arteries were 2.87 ＋ 0.40, 2.88 ＋ 0.39, 2.90 ＋ 0.35, respectively. Vasospasm occurred in 6 cases in the radial artery and in another 2 cases in the coronary artery. There were no occlusion of radial artery found during follow up. Conclusion Four-F catheter could be utilized in selected patients for its nice maneuverability, fine images and less vascular complications during angiography.
出处
《中国介入心脏病学杂志》
2007年第2期73-75,共3页
Chinese Journal of Interventional Cardiology
关键词
桡动脉
冠状血管造影术
Radial artery
Coronary angiography
