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目的:探讨常规经桡动脉行冠状动脉介入治疗(percutaneous coronary intervention,PCI)的临床疗效和安全性。方法:对我院617例常规经桡动脉行冠脉造影及PCI治疗患者的临床资料进行回顾性分析。结果:桡动脉穿刺成功率100%,经桡动脉冠脉造影及PCI成功率97%,术后并发症:皮下瘀斑面积>5 cm×5 cm的发生率2%,皮下血肿>1 cm×1cm的发生率为2%,迷走反射的发生率为0.6%,桡动脉闭塞的发生率为0.3%,无与穿刺相关的死亡病例,无全身大出血、动静脉瘘、手神经损伤患者。结论:经桡动脉途径行冠状动脉造影及介入治疗安全、有效,优点显著。
Objective: To investigate the clinical efficacy and safety of routine transradial coronary intervention (percutaneous coronary intervention). Methods: The clinical data of 617 routine transradial coronary angiography and PCI in our hospital were analyzed retrospectively. Results: The successful rate of radial artery puncture was 100%. The success rate of radial artery coronary angiography and PCI was 97%. The incidence of postoperative complications was 2% with subcutaneous ecchymosis> 5 cm × 5 cm and subcutaneous hematoma> 1 cm × The incidence of 1 cm was 2%, the incidence of vagal reflex was 0.6%, and the incidence of radial artery occlusion was 0.3%. There were no deaths associated with puncture, no systemic hemorrhage, arteriovenous fistula or hand nerve injury. Conclusion: Transradial approach to coronary angiography and interventional treatment is safe, effective and has significant advantages.