经桡动脉穿刺行冠状动脉介入治疗临床观察

目的探讨经桡动脉穿刺行冠状动脉介入治疗的安全性。方法对80例冠心病患者经桡动脉穿刺行冠状动脉介入治疗。结果4例桡动脉穿刺失败改行股动脉或肱动脉穿刺，3例桡动脉穿刺虽成功但试行冠状动脉造影失败，其余患者均取得穿刺和介入治疗成功。结论经桡动脉穿刺行冠状动脉介入治疗在临床上可行，穿刺较困难，导引导管支撑力较差，术后并发症和痛苦少，但应警惕局部血管损伤的可能。

Pecutenous transradial coronary intervention

Objective To study the safety of transradial approach for coronary interventions. Methods Coronary intervention was tried to be performed via transradial approach in 80 patients with coronary heart disease. Results Transradial puncture failed in 4 cases and coronary interventions were performed via transfemoral approach or transbrachial approach instead. Coronary angiography failed in 3 cases although transradial puncture succeeded. Both transradial puncture and coronary intervention succeeded in the rest 73 cases. Conclusions Coronary intervention via transradial approach is feasible, the radial artery puncture is some what difficult, and guiding catheter support is poor to some extent, complications and suffering are minor after operating, but one must be cautious about vascular damages near the puncture site.