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目的 :随着冠心病介入诊疗技术的普遍开展 ,介入器材的进步 ,各种规格造影导管的使用应予研究。本文旨在探讨常规使用较小直径造影导管经桡动脉径路施行诊断性冠状动脉造影的可行性、安全性及优越性。方法 :选择 2 0 0 0年 12月到 2 0 0 2年 10月我院择期冠状动脉造影患者 14 0例 ,其中男性 12 0例 ,女性 2 0例 ,平均年龄 5 6.2±10 .3岁 (2 4-83岁 )。入选患者术前均行Allen′s试验 ,阳性者 (<10sec)入选。在桡动脉穿刺成功后 ,按其造影时首先选用 6F桡动脉鞘管和 6FJudkins造影导管抑或首先选用 5F或 6F桡动脉鞘管和 5F桡动脉径路专用的供左、右冠状动脉插管的 5F共用型造影导管 (日本Terumo公司生产BrachialType)分为 6FJudkins型导管组—A组 (3 0例 )和 5F共用型导管组—B组 (110例 )。对比观察两组手术成功率、冠状动脉造影X光透视时间、手术操作时间、血管并发症的发生率和使用的导管数。结果 :1、A组 3 0例中 ,2 7例 (其中 1例改为肱动脉径路 ) (90 .0 % )经桡动脉径路行左、右冠状动脉造影成功 ,3例 (10 .0 % )经桡动脉径路仅完成部分操作 (左或右冠状动脉造影 ) ,后改为股动脉径路补充完成全部造影操作。B组 110例中 ,10 6例 (其中 5例改为肱动脉径路 ) (96.4% )经桡动脉径路行左、右冠状动脉?
OBJECTIVE: As coronary heart disease interventional diagnosis and treatment techniques are generally carried out, advances in interventional devices, the use of various specifications of the imaging catheter should be studied. This article aims to investigate the feasibility, safety and superiority of routine diagnostic coronary angiography using a smaller diameter contrast catheter via the radial artery. Methods: From December 2000 to October 2002, 140 patients undergoing elective coronary angiography in our hospital were selected, including 120 males and 20 females with an average age of 5 6.2 ± 10.3 years 2 4-83 years old). All patients were enrolled in Allen’s preoperative test, positive (<10sec) selected. After the successful radial artery puncture, according to their choice of angiography 6F radial artery sheath and 6FJudkins contrast catheter or the first choice of 5F or 6F radial artery sheath and 5F radial artery dedicated left and right coronary artery cannulation 5F common Type angiography catheter (BrachialType manufactured by Terumo, Japan) was divided into 6FJudkins catheter group-A group (30 cases) and 5F common catheter group-B group (110 cases). The success rate of operation, the time of coronary angiography, the operation time, the incidence of vascular complications and the number of catheters used were compared between the two groups. Among the 30 patients in group A, 27 patients (including 1 patient who had brachial artery route) (90.0%) had successful left and right coronary angiography through radial artery route, 3 patients (10.0% ) Transradial approach to complete only part of the operation (left or right coronary angiography), later replaced by the femoral artery approach to complete all the imaging operations. Among the 110 cases in group B, 106 cases (5 cases were changed to brachial artery pathway) (96.4%) had left and right coronary artery via radial artery pathway.