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老年患者经桡动脉途径行介入检查及治疗技术障碍分析和安全性评价

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摘要 目的总结45例患者经桡动脉进行冠状动脉造影检查(CAG)及介入治疗(PCI)的经验。分析存在的技术难点、相应解决办法及安全性评价。方法 45例患者经桡动脉行CAG(男性38例,女性7例),平均年龄(65±10)岁,常规使用5F泰尔茂公司多功能导管,7例更换6F指引导管成功进行PCI,其中男性6例,女性1例,平均年龄(66±7)岁。结果桡动脉穿刺不成功2例,桡动脉痉挛导致无法完成操作1例(5F造影导管),经桡动脉途径成功率为93.3%(42/45),其中1例改为经肱动脉途径成功施行PCI,2例改为经股动脉途径完成CAG和PCI操作。结论老年患者采用桡动脉径路行冠状动脉造影及冠状动脉介入治疗是安全的,可提高患者的依从性,减少患者的一些潜在并发症的发生,但较经股动脉径路操作稍复杂,需掌握相应的操作技巧及器械选用策略。
作者 胡云华 王晓华 汪鸿彬 张明 章志玲 熊力
机构地区 江西省人民医院干心内一科
出处 《中国医药指南》 2010年第29期95-96,共2页 Guide of China Medicine
关键词 冠状动脉造影 经桡动脉途径 介入治疗
分类号 R815 [医药卫生—放射医学]
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参考文献5

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中国医药指南
2010年 第29期

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