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桡动脉穿刺冠状动脉内介入治疗的临床应用
引用本文:李琳,柳茵,刘维军,樊世明,于伊,梅峰,刘连军,王红,严鹏仲,任明.桡动脉穿刺冠状动脉内介入治疗的临床应用[J].青海医药杂志,2006,36(3):10-11.
作者姓名:李琳  柳茵  刘维军  樊世明  于伊  梅峰  刘连军  王红  严鹏仲  任明
作者单位:青海大学附属医院心内科,810001;青海大学附属医院心内科,810001;青海大学附属医院心内科,810001;青海大学附属医院心内科,810001;青海大学附属医院心内科,810001;青海大学附属医院心内科,810001;青海大学附属医院心内科,810001;青海大学附属医院心内科,810001;青海大学附属医院心内科,810001;青海大学附属医院心内科,810001
摘    要:目的:探讨经桡动脉穿刺选择性冠状动脉造影及冠状动脉腔内成形术(PTCA)及支架术的临床意义。方法:对102例具备冠状动脉造影适应证的患者,采用经桡动脉穿刺法行右、左冠状动脉造影,并根据冠状动脉造影结果决定是否行经皮冠状动脉腔内成形术(PTCA)及支架术。结果:冠状动脉狭窄(50-70)%21例(21/102,占21%),〉75%以上68例(68/102,占67%),68例行PTCA及支架植入术,〈50%13例(13/102,占12%),冠状动脉正常25例(25/70,占35.5%)。结论:通过冠状动脉造影,可以定性诊断,指导治疗;桡动脉穿刺具有出血并发症少等优点。

关 键 词:桡动脉穿刺  冠状动脉造影  经皮腔内冠状动脉成形术(PTCA)  支架植入术  冠状动脉旁路移植术(CABG)

Clinical Application of Coronary Intervention Treatment Through Radial Artery
Li Lin,Liu Yin,Liu Weijun,Fan Shiming,Yu Yi,Mei Feng,Liu Lianjun,Wang Hong,Yan Pengzhong,Ren Ming.Clinical Application of Coronary Intervention Treatment Through Radial Artery[J].Qinghai Medical Journal,2006,36(3):10-11.
Authors:Li Lin  Liu Yin  Liu Weijun  Fan Shiming  Yu Yi  Mei Feng  Liu Lianjun  Wang Hong  Yan Pengzhong  Ren Ming
Abstract:Objective: To understand the clinical application and its significance of coronary interventional treatment through radial artery.Methods: Right and left coronary contrast examination was performed through the radial artery in 102 objects,so that determined if the PTCA and intracoronary stent would be done.Results: 21 of 102 cases had the 50%-70% coronary stenosis;68 cases were >75% stenosis(67%);13 cases <50% stenosis (12%),25 cases had normal state of coronary artery.The PTCA and/or stent implantation was performed in 68 objects.Conclusions: The radial artery puncture for coronary contrast examination is a good way because of less hemorrhage and complication,and has benefit to determination of PTCA and stent implantation.
Keywords:Radial artery  Coronary contrast examination  PTCA  Stents  Intervention
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