中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
28期
46-49
,共4页
靳志涛%丁力平%李娟%靳兴国%胡莉华%高国杰%胡桃红
靳誌濤%丁力平%李娟%靳興國%鬍莉華%高國傑%鬍桃紅
근지도%정력평%리연%근흥국%호리화%고국걸%호도홍
桡动脉造影%经桡动脉途径%经皮冠状动脉介入治疗
橈動脈造影%經橈動脈途徑%經皮冠狀動脈介入治療
뇨동맥조영%경뇨동맥도경%경피관상동맥개입치료
Radial artery angiography%Transradial approach%Percutaneous coronary intervention
目的 研究经桡动脉冠心病介入治疗术预先桡动脉造影的可行性和必要性.方法 对接受经桡动脉冠心病介入治疗682例,按随机数字表法分为两组:预先桡动脉造影(pre-RAA)组341例直接行桡动脉造影;延后桡动脉造影(post-RAA)组341例在导丝、导管遇有阻力时立即行桡动脉造影,或者在冠心病介入治疗结束时行桡动脉造影.观察两组桡动脉影像学特征,并记录两组患者桡动脉相关并发症发生情况.结果 post-RAA组桡动脉痉挛比率高于pre-RAA组[11.4%(39/341)比6.2%(21/341),P=0.015],post-RAA组手术失败率高于pre-RAA组[3.2%(11/341)比0.6%(2/341),P=0.014],post-RAA组桡动脉穿孔发生率和术后1~6个月桡动脉闭塞率显著增高,且两组比较差异有统计学意义(P< 0.05).结论 经桡动脉冠心病介入治疗术预先行桡动脉造影可以有效观察桡动脉形态,减少桡动脉相关并发症.
目的 研究經橈動脈冠心病介入治療術預先橈動脈造影的可行性和必要性.方法 對接受經橈動脈冠心病介入治療682例,按隨機數字錶法分為兩組:預先橈動脈造影(pre-RAA)組341例直接行橈動脈造影;延後橈動脈造影(post-RAA)組341例在導絲、導管遇有阻力時立即行橈動脈造影,或者在冠心病介入治療結束時行橈動脈造影.觀察兩組橈動脈影像學特徵,併記錄兩組患者橈動脈相關併髮癥髮生情況.結果 post-RAA組橈動脈痙攣比率高于pre-RAA組[11.4%(39/341)比6.2%(21/341),P=0.015],post-RAA組手術失敗率高于pre-RAA組[3.2%(11/341)比0.6%(2/341),P=0.014],post-RAA組橈動脈穿孔髮生率和術後1~6箇月橈動脈閉塞率顯著增高,且兩組比較差異有統計學意義(P< 0.05).結論 經橈動脈冠心病介入治療術預先行橈動脈造影可以有效觀察橈動脈形態,減少橈動脈相關併髮癥.
목적 연구경뇨동맥관심병개입치료술예선뇨동맥조영적가행성화필요성.방법 대접수경뇨동맥관심병개입치료682례,안수궤수자표법분위량조:예선뇨동맥조영(pre-RAA)조341례직접행뇨동맥조영;연후뇨동맥조영(post-RAA)조341례재도사、도관우유조력시립즉행뇨동맥조영,혹자재관심병개입치료결속시행뇨동맥조영.관찰량조뇨동맥영상학특정,병기록량조환자뇨동맥상관병발증발생정황.결과 post-RAA조뇨동맥경련비솔고우pre-RAA조[11.4%(39/341)비6.2%(21/341),P=0.015],post-RAA조수술실패솔고우pre-RAA조[3.2%(11/341)비0.6%(2/341),P=0.014],post-RAA조뇨동맥천공발생솔화술후1~6개월뇨동맥폐새솔현저증고,차량조비교차이유통계학의의(P< 0.05).결론 경뇨동맥관심병개입치료술예선행뇨동맥조영가이유효관찰뇨동맥형태,감소뇨동맥상관병발증.
Objective To study the feasibility and necessity of radial artery angiolgraphy in advance on transradial coronary intervention.Methods A total of 682 patients undergoing transradial coronary intervention were divided into two groups by random digits table method.Previous radial artery angiography (pre-RAA) group of 341 cases underwent radial artery angiography;post radial artery angiography (post-RAA) group of 341 cases in the guide wire,catheter in resistance immediately for radial artery angiography.The radial artery imaging characteristics were observed and the radial artery related complications were recorded in two groups.Results The ratio of radial artery spasm in post-RAA group was higher than that in pre-RAA group [11.4%(39/341) vs.6.2%(21/341),P=0.015].The ratio of operation failed in post-RAA group was higher than that in pre-RAA group [3.2% (11/341) vs.0.6% (2/341),P =0.014].The radial artery perforation rate and postoperative 1-6 months of radial artery occlusion rate increased significantly in post-RAA group,and there was significant difference between two groups (P < 0.05).Conclusion Transradial coronary intervention in advance for radial artery angiography therapy can effectively observe the radial artery morphology,reduce the radial artery related complications.