论文部分内容阅读
目的:观察经桡动脉介入诊治冠心病的安全性和有效性。方法:对1503例患者进行了经桡动脉途径介入诊治,其中包括心绞痛患者1218例,心梗患者268例,二尖瓣和/或动脉瓣手术前对冠状动脉进行解剖学评估17例,观察患者手术安全性、成功率以及与经桡动脉手术相关的并发症发病率。结果:介入治疗成功率为93.1%(1400/1503),手术失败的主要原因为桡动脉穿刺失败(39例),严重桡动脉痉挛(42例),右锁骨下动脉不同程度的弯曲(18例),近端严重狭窄(14例)。术后有14例患者出现严重并发症(瞬时缺血性病变),60例出现有症状的窦性心动过缓,43例出现静脉血栓,77例出现血肿,88例出现桡动脉梗阻。结论:经桡动脉途径是一种安全、有效、患者更容易接受的冠心病介入诊治方法。
Objective: To observe the safety and efficacy of transradial interventional treatment of coronary heart disease. Methods: A total of 1503 patients underwent radial artery interventional therapy. Among them, 1,218 cases of angina pectoris, 268 cases of myocardial infarction, 17 cases of coronary artery anatomy assessment before mitral valve and / or aortic valve surgery, Surgical safety, success rate, and morbidity associated with transradial surgery. Results: The success rate of interventional therapy was 93.1% (1400/1503). The main reasons for the failure were radial artery puncture failure (39 cases), severe radial artery spasm (42 cases) and right subclavian artery (18 cases) ), Severe proximal stenosis (14 cases). There were 14 patients with severe complications (transient ischemic lesions), 60 with symptomatic sinus bradycardia, 43 with venous thrombi, 77 with hematoma, and 88 with radial obstruction. Conclusion: Transradial approach is a safe, effective and more accessible method of coronary intervention for patients.