经桡动脉途径行冠状动脉介入治疗的临床研究

目的:探讨经桡动脉途径行冠状动脉动脉介入治疗的可行性、有效性及安全性.方法:收集我院经桡动脉途径行冠状动脉动脉介入治疗46例.观察桡动脉穿刺成功率、并发症及经桡动脉途径行冠状动脉动脉介入治疗的成功率及并发症.结果:桡动脉穿刺置管成功率为97.9%.46例患者53处靶病变成功植入53枚冠脉支架(药物洗脱支架43枚,普通支架10枚),经桡动脉途径行冠状动脉动脉介入治疗成功率为97.8%.靶病变类型:A型病变4处,B型病变24处,C型病变25处.术后无出血、血肿、桡动脉闭塞、假性动脉瘤、动静脉瘘等外周血管并发症发生.结论:经桡动脉途径行冠状动脉动脉介入治疗成功率高,安全、有效、可行,外周血管并发症发生率低,患者术后无需卧床制动,痛苦少.

CLINICAL STUDY OF TRANSRADIAL CORONARY INTERVENTION IN CORONARY ARTERY DISEASE PATIENTS

Objective: To evaluate the efficacy and safety of transradial coronary intervention in the coronary artery diseased patients.Methods:46 cases of coronary artery diseased patients who accepted transradial coronary intervention were enrolled. The successful rate and complication in puncture site were observed. Result:The successful rate of transradial coronary intervention was 97.9%. 53 coronary stents (43 drug eluting stents and 10 bare metal stents)were implanted in 53 diseased lesions of 46 coronary artery diseased patients. The successful rate of transradial coronary intervention was 97.8%. The types of diseased lesions were 4 type A, 24 type B and 25 type C. Not any complication in puncture site was observed. Conclusion:Transradial coronary intervention was very safe and efficacy with very low complication in puncture site. TRI may be a good option for the experienced hospital.