经左右桡尺动脉行冠脉介入临床应用价值及安全性.docVIP

经左右桡尺动脉行冠脉介入临床应用价值及安全性【摘要】目的:分析经左右桡尺动脉途径行冠状动脉介入术的临床应用价值和安全性。方法:选择我院自2004年以来,经左右桡尺动脉途径共完成冠脉介入手术2516例,观察手术成功率、冠脉及桡尺动脉并发症等情况。术前均测试双手Allen试验及反向Allen试验,采用日本Teromo公司的穿刺包穿刺,TR-Band止血气囊包扎止血。结果:两组病人手术成功率、PCI成功率和临床成功率、冠状动脉造影曝光时间、血管并发症无显著性差异。结论:介入术前测试左右手的Allen试验和反Allen试验,左右桡尺动脉,四条血管入路,大大增加了介入医生的选择余地,同样能减少出血和血管相关性并发症、减少病人痛苦,完成介入治疗。 【关键词】左右;桡尺动脉;冠脉介入; 并发症 【中图分类号】R541.4 【文献标识码】A 【文章编号】1008-6455(2010)08-0106-01 【Abstract】Objective: To analyse the clinical value and security of coronary intervention by the left and right ulnar artery path. Methods: Select 2516 cases of coronary intervention by the left and right ulnar artery path operation in our hospital since 2004 and observe the success rate of the operations and complications of coronary artery and the ulnar artery. Allen test and reverse Allen test of both hands are taken before operation, the puncture package of Japanese company Teromo is used for puncture and TR Band hemostasis balloon is applied for enswathement and hemostasis. Results: There are no conspicuous differences with the operation success rate, PCI success rate, clinical success, exposure time of coronary angiography and vascular complications of the two groups of patients. Conclusion: Allen test and reverse Allen test of both left and right hand should be taken before the operation of coronary intervention by the left and right ulnar artery path. The left and right ulnar artery means four vascular approaches, which will greatly increase the options of doctors, reduce bleeding,vascular complications and the suffering of patients and complete the intervention. 【Key words】left and right; ulnar artery; coronary intervention; complications 自1989年Campeau等首次经桡动脉行诊断性冠状动脉造影术[1],Kiemeneij又于1994年将其应用于PTCA及支架的植入,使心脏介入进入新的纪元[2]以来,桡动脉入路已经越来越被大家接受和采用。其相对股动脉入路在外周血管并发症较多、住院时间长、患者花费增加和舒适度低等方面优势明显。为观察左侧桡动脉、左右尺动脉入路与常规右侧桡动脉入路是否有相同优势,现将我院自2004年以来,经左右桡尺动脉途径共完成冠脉介入手术2516例,观察手术成功率、冠脉及桡尺动脉并发症等情况汇报如下。 1 临床资料与方法 1.1 一般资料:2004年11月至2009年11月我院共2516例经左右桡尺动脉行冠脉介入手术,其中经右侧尺动