摘要
目的探讨经左桡动脉途径行冠状动脉造影的可行性。方法195例冠心病患者，Allen试验正常，随机分为左桡动脉组（98例）和右桡动脉组（97例）。冠状动脉造影选用5FTIG造影导管。对两种途径在穿刺时间、X线光照时间、造影时间、穿刺成功率、造影成功率等方面进行比较。结果左、右桡动脉组穿刺时间[（2．25±1．58）min比（2．19±1．62）min]、X线光照时间[（3．12±1．53）min比（3．21±1．49）min]、造影时间[（12．87±2．52）min比（12．98±2．85）min]、穿刺成功率（95．92％比95．88％）、造影成功率（94．90％比94．85％）比较，差异均无统计学意义。结论左桡动脉途径能很好地完成冠状动脉造影，可以作为冠状动脉造影的可选择途径之一，值得临床推广应用。
Objective To study the feasibility of left radial artery approach for coronary angiography. Methods One hundred and ninety-five patients who were diagnosed coronary atherosclerotic heart disease were randomly divided into left radial artery approach group for coronary angiography （98 cases ） and right radial artery approach group （97 cases ）. Selective coronary angiographies were performed with 5 F TIG catheters. The time of puncturing, the time of fluoroscopy and angiography under X-ray,and also the successful rates of puncturing and coronary angiography were observed and compared between the two groups. Results There was no significantly difference either in the time of puncturing [（2.25 ± 1.58）min vs （2.19 ± 1.62） mini ,the time of fluoroscopy [ （3.12 ± 1.53） min vs （3.21± 1.49） mini and angiography under X ray[ （12.87± 2.52） min vs （12.98 ±2.85） mini ,or in successful rates of puncturing （95.92% vs 95.88%） and coronary angiography （94.90% vs 94.85%）. Conclusion Coronary angiography can be accomplished by left radial artery approach, which can be one of selective approaches. It is worth using in clinic.
出处
《中国医师进修杂志（内科版）》
2008年第2期10-12,共3页
Chinese Journal of Postgraduates of Medicine
