桡动脉穿刺冠状动脉内介入治疗的临床应用

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。

Clinical Application of Coronary Intervention Treatment Through Radial Artery

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.