| 三维右冠状动脉造影导管在冠状动脉造影中的应用 |
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| 引用本文： | 高伟栋,赖浚兴,张学芳,林如明,赖兆新,张高星.三维右冠状动脉造影导管在冠状动脉造影中的应用[J].中国循证心血管医学杂志,2009,1(2):85-87. |
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| 作者姓名： | 高伟栋 赖浚兴 张学芳 林如明 赖兆新 张高星 |
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| 作者单位： | 中山大学附属江门医院心血管内科,江门,529071 |
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| 摘 要： | 目的比较三维右冠状动脉造影导管（3DRC）和Judkins右冠造影管（JR）在右冠状动脉造影中的可行性及安全性。方法417例患者中随机分为两组：三维右冠状动脉造影导管组（3DRC组，n=194）和Judkins右冠造影导管组（JR组，n=221）。两组患者均进行右侧冠状动脉造影检查，比较两组右冠状动脉造影成功率、手术操作时间、右冠状动脉造影X线曝光时间造影剂用量等。结果右侧冠脉造影成功率3DRC组为99．O％，JR组为96．8％（P〈0．05）；手术操作时间3DRC组为（30．2±8．2）min，JR组为（33．1±12．5）min；X线曝光时间：3DRC组为（5．8±1．8）min，JR组为（6．3±2．0）min，（P〈0．05）；右冠造影x线曝光时间：3DRC组为（2．5±0．8）min，JR组为（2．9±1．5）rain，（P〈0．05）；造影剂用量：3DRC组为（68．5±10．6）ml，JR组为（72．8±12．2）ml，（P〈0．05）；有冠状动脉造影管压力嵌顿率：3DRC组0．5％；JR组2．7％（P〈0．05）。结论在右侧冠状动脉造影中三维右冠状动脉造影导管优于传统的JR造影导管。
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| 关 键 词： | 冠状血管造影术 冠状血管 冠状动脉疾病 |
The application of 3DRC catheter in right coronary angiography |
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| Authors: | GAO Wei-dong LAI Jun-xing ZHANG Xue-fang LIN Ru-ming LAI Zhao-xin ZHANG Gao-xing |
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| Institution: | GAO Wei-dong , IAI Jun-xing, ZHANC Xue-fang, LIN Ru-ming, LAI Zhao-xin, ZHANC Gao-xing.( Department of Cardiology, Affiliated Jiangmen Hospital of Sun Yet-sen University, Jiangmen 529071, China) |
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| Abstract: | Objective To compare the safety, feasibility and superiority between 3DRC and JR catheter in fight coronary angiography. Methods 417 patients were randomized into two groups and under- went right coronary, angiography either using 3DRC or JR cathter. Compare the X-ray irradiation time and achievement ratio of fight coronary angiography between two groups. Results significant differences were observed. The success rate of 3DRC group was 99.0% , and that of JR group was 96.8% ; the X-ray irradiation time was （2.5± 0.8 ） min in the 3DRC group, while it was （2.9± 1.5） rain in the JR group. Conclusion 3DRC catheter was safer, more feasible, and superior to traditional JR catheter in fight coronary angiography. |
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| Keywords: | Coronary angiography Coronary vessels Coronary arterry disease |
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