经桡动脉途径行冠脉造影和介入治疗1324例的临床分析

目的研究经桡动脉对患者行冠状动脉造影（CAG）和经皮冠状动脉介入（PCI）治疗的可行性和安全性。方at2009年10月～2012年12月的经桡动脉行冠状动脉造影（CAG）和经皮冠状动脉介入（PCI）治疗1324例患者临床资料进行分析。结果经桡动脉穿刺成功1324例，成功率为100％；桡动脉插管成功1320例，成功率为99．70％，其中623例病人成功行冠状动脉介入治疗。术中、术后并发症：血管迷走反射2例，桡动脉痉挛21例，术后穿刺部位小血肿2例，前臂肿胀7例，未见其他不良并发症。结论经桡动脉行冠状动脉介入诊疗安全可行，不仅创伤小，且成功率高、并发症少，值得临床推广应用。

Clinical Analysis of Percutaneous Radial Artery Approach for Coronary Angiogra. phy and Interventional Therapy in 1324 Cases

Objective To discuss the feasibility and safety of transradial coronary artery angiography （CAG ） and percutaneous coronary intervention （PCI）. Methods The clinicsl materials of 1324 cases of GAG and PCI patient from 0ctober 2009 to December 2012 in our hospital were analyzed. Results Transradial puncture was successful in 1324 cases, the success rate is 100% radial artery cannulation was successful in 1320 cases, the success rate was 99.70%, of which 623 cases were successful coronary artery interventional therapy. Intraoperative, postoperative complications： vasovagal reflex in 2 cases, 21 cases of radial artery spasm, 2 cases of postoperative puncture site hematoma, 7 cases of forearm swelling, no other adverse complications. Conclusion Transradial coronary artery interventional therapy is safe and feasible, not only has small trauma, and high success rate, less complications, is worthy of clinical application.