经桡动脉冠状动脉造影120例分析

目的 探讨经桡动脉冠脉造影术的临床应用价值。方法 120例病人术前均接受Allen＇s试验检查，选择右侧桡动脉作为穿刺插管的部位，依个人习惯我们使用5F桡动脉造影导管。结果 造影成功113例，成功率为94．2％，7例失败（为血管严重痉挛而无法进入导管），局部血肿3例（2．5％），2例（1．7％）术后发生桡动脉闭塞，无出血、夹层等血管并发症发生。结论 经桡动脉行冠脉造影与经股动脉同样安全、可行，经桡动脉的穿刺局部并发症少，病人更乐意接受。

Coronary angiorgraphy by transtradial approach in 120 cases

Objective To summary the advantages and disadvantages of transradial coronary angiography.Methods All 120 patients received Allen test before operation.The catheter was inserted into the right radial artery for angiography.We used 5F Terumo Optiporqe Radil angiography catheter according to operator.Results Transradial coronary angiographies were successful in 113 patients(94.2%),7cases were unsuccessful.The failure reasons were the radial artery spasm severely and the catheter couldn't be manipulated any more.Complications including local hematoma(3cases,2.5%),radial artery occlusion occurred(2 cases,1.7%) after the puncture,No complication such as bleeding,dissection occurred.Conclusion Safety and feasibility of transradial coronary angiography is similar to that of transfemoral coronary angiography.Patients prefer the transradial approach because of its fewer local complication and more comfort.