经桡动脉途径介入治疗冠状动脉钙化病变临床应用.docVIP

经桡动脉途径介入治疗冠状动脉钙化病变临床应用【摘要】 目的 探讨经桡动脉途径行冠状动脉介入性治疗冠状动脉钙化临床应用。方法 总结2008年4月至2009年12月我科应用经桡动脉途径行冠状动脉介入性治疗冠状动脉钙化病例182例临床资料。结果 介人治疗成功177例,成功率为97.25%;介人治疗不成功5例,所用病例出院时桡动脉搏动良好,手部无缺血。术后3个月随访发现挠动脉搏动明显减弱或消失,但无手部缺血或功能障碍。结论 经桡动脉途径行冠状动脉介入性治疗冠状动脉钙化具有创伤小、易于压迫和止血、局部出血和血管并发症少、无需卧床、不会伤及手腕神经,不影响手腕的功能; 不影响抗凝药物的持续使用。住院时间缩短、减少住院费用等优点。 【关键词】经桡动脉途径;冠状动脉介入性治疗;冠状动脉钙化;临床应用 The clinical application of radial artery approach for coronary intervention to cure coronary artery calcification WANG Yan-yu,DONG Ping-shuan,YANG Xu-ming,et al.Department of Heart Internal Medicine,the First Affiliated Hospital of Luoyang,Henan 471003,China 【Abstract】 Objective To evaluate the application of radial artery approach for coronary intervention to cure coronary artery calcification.Methods From April 2008 to October 2009 Division I applied in December transradial coronary intervention treatment of coronary artery calcification in 182 patients with cases of clinical data.Results 177 cases of interventional treatment success,a success rate was 97.25%;interventional treatment was not successful in 5 cases,the patients discharged with a good radial pulse,no ischemic hand.Follow-up 3 months after radial artery pulse was found significantly reduced or lost,but no hand ischemia or dysfunction.Conclusion The radial artery approach for coronary intervention with minimally invasive coronary artery calcification,easy to oppression and can stop the bleeding,local bleeding and less vascular complications,need not lie in bed,do not hurt the wrist nerve,does not affect the function of the wrist; not affecton continued use of anticoagulant drugs.Shorter hospital stays,reduced hospitalization costs and so on. 【Key words】Through radial artery; Coronary intervention; Coronary artery calcification; Clinical application 冠状动脉介入诊疗是诊治冠心病的一种重要方法,选择性冠状动脉造影是明确冠状动脉钙化,冠状动脉狭窄部位及严重程度的可靠方法,应用经桡动脉途径行冠状动脉介入性治疗冠状动脉钙化达到良好的效果,现汇报如下。 1 资料与方法 1.1 一般资料 从2008年4月至2009年12月我科应用经桡动脉途径行冠状动脉介入性治疗冠状动脉钙化病例182例。其中男102例,女80例;年龄48~76岁,平均62