[1]陈建宁,胡文志.无鞘 7 F普通导引导管经桡动脉介入治疗冠状动脉病变临床效果[J].介入放射学杂志,2017,(04):296-298.
 CHENG Jianning,HU Wenzhi.Transradial interventional treatment of coronary artery lesions by using sheathless common 7- F guiding catheter: its clinical efficacy[J].journal interventional radiology,2017,(04):296-298.
点击复制

无鞘 7 F普通导引导管经桡动脉介入治疗冠状动脉病变临床效果()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年04期
页码:
296-298
栏目:
心脏介入
出版日期:
2017-04-25

文章信息/Info

Title:
Transradial interventional treatment of coronary artery lesions by using sheathless common 7- F guiding catheter: its clinical efficacy
作者:
陈建宁 胡文志
Author(s):
CHENG Jianning HU Wenzhi
Department of Cardiology, Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210011, China
关键词:
【关键词】 无鞘技术 桡动脉 7 F普通导引导管 冠状动脉病变
文献标志码:
A
摘要:
【摘要】 目的 比较经桡动脉无鞘7 F普通导引导管和常规6 F鞘导引导管治疗冠状动脉病变的有效性和安全性。方法 回顾性分析2014年1月至2015年6月连续接受经皮冠状动脉介入治疗(PCI)手术的160例冠状动脉病变患者临床资料。随机分为无鞘组(n=80)和有鞘组(n=80),比较两种方法的导引导管到位、桡动脉创口压迫时间、止血成功、桡动脉痉挛、桡动脉术后血管直径、远端肿胀消退时间、前臂疼痛或不适、前臂血肿、假性动脉瘤、桡动脉闭塞、皮肤缺血坏死等。结果 无鞘组、有鞘组术中发生桡动脉痉挛分别为9例、2例,前臂疼痛或不适分别为7例、1例,差异均有统计学意义(P<0.05)。两组导引导管到位、桡动脉创口压迫时间、前臂血肿、止血成功、桡动脉术后直径、桡动脉闭塞及皮肤缺血坏死间差异均无统计学意义(P>0.05)。结论 与常规6 F鞘导引导管相比,桡动脉无鞘7 F普通导引导管治疗冠状动脉病变安全有效。

参考文献/References:

[1] Sondagur AR, Wang H, Cao Y, et al. Success rate and safety of coronary angiography and angioplasty via radial artery approach among a Chinese population[J]. J Invasive Cardiol, 2014, 26: 273- 275.
[2] Liu P, Gao XL, Li BF, et al. Radial versus femoral artery access for percutaneous coronary angiography and intervention: a syste- matic review and meta-analysis of randomized controlled trials in Chinese population[J]. Int J Clin Exp Med, 2015, 8: 17151-17166.
[3] Tada N, Takizawa K, Kahata M, et al. Sheathless guide catheter coronary intervention via radial artery: single- center experience with 9658 procedures[J]. J Invasive Cardiol, 2015, 27: 237-241.
[4] 李 浪, 曾书燚, 巫相宏, 等. 中国南方人群桡、尺动脉内径特点及其在冠状动脉介入治疗中的临床意义[J]. 中国循环杂志, 2011, 26: 351- 354.
[5] 胡文志, 杨季明. 联合地尔硫和硝酸甘油防治桡动脉痉挛的有效性和安全性观察[J]. 介入放射学杂志, 2014, 23: 474- 476.
[6] Din JN, Murphy A, Chu K, et al. Radial artery pseudoaneurysms after transradial cardiac catheterisation[J]. Vasa, 2016, 45: 229- 232.

相似文献/References:

[1]黄春燕,王中洁,陈丽媛.经桡动脉冠状动脉造影套管针与裸针穿刺并发症的对比研究[J].介入放射学杂志,2010,(11):905.
 HUANG Chun-yan,WANG Zhong-jie,CHEN Li-yuan.Complications of transradial coronary angiography: a comparative study between using trocar needle and using bare needle[J].journal interventional radiology,2010,(04):905.
[2]钟继明,李 浪,陆永光,等.经桡动脉冠心病介入诊疗中桡动脉痉挛的发生及其预测因素[J].介入放射学杂志,2011,(04):265.
 ZHONG Ji-ming,LI Lang,LU Yong-guang,et al.Radial artery spasm occurred in transradial coronary intervention for coronary heart disease its occurrence and predictors[J].journal interventional radiology,2011,(04):265.
[3]黄志志,梁 柯. 经桡动脉路径椎动脉支架成形术的临床研究[J].介入放射学杂志,2012,(01):14.
 HUANG Zhi-zhi,LIANG Ke..Vertebral artery stenting via radial artery access: a clinical study [J].journal interventional radiology,2012,(04):14.
[4]钟 华,方志敏. Allen试验异常患者经桡动脉冠脉介入诊治的血管并发症[J].介入放射学杂志,2012,(05):366.
 . The vascular complications of transradial coronary angiography and intervention in patients with abnormal Allen test[J].journal interventional radiology,2012,(04):366.
[5]胡文志,杨季明. 联合地尔硫和硝酸甘油防治桡动脉痉挛的有效性和安全性观察[J].介入放射学杂志,2014,(06):474.
 HU Wen- zhi,YANG Ji- ming.. Combination use of diltiazem and nitroglycerin in preventing radial artery spasm in performing coronary angiography: observation of its efficacy and safety[J].journal interventional radiology,2014,(04):474.
[6]杨海华,周晓梅,刘立斌.长导丝交换技术在经桡动脉途径脑血管造影术中的应用 [J].介入放射学杂志,2017,(08):676.
 YANG Haihua,ZHOU Xiaomei,LIU Libin.Application of long guidewire exchange technique in cerebral angiography via radial artery access [J].journal interventional radiology,2017,(04):676.
[7]唐文栋,许旭东,白 元,等.桡动脉入路室间隔缺损封堵术初步临床应用 [J].介入放射学杂志,2018,27(02):114.
 TANG Wendong,XU Xudong,BAI Yuan,et al.Preliminary clinical application of transcatheter closure of ventricular septal defect via radial approach China[J].journal interventional radiology,2018,27(04):114.
[8]沈正林,秦永芳.左侧桡动脉头静脉内瘘术后手背肿胀1例 [J].介入放射学杂志,2019,28(04):399.
 SHEN Zhenglin,QIN Yongfang..Successful management of the swelling of the back of hand occurring after anastomosis of internal fistula between left radial artery and cephalic vein: report of one case[J].journal interventional radiology,2019,28(04):399.
[9]钱超一,郝伟远,邵国良,等.桡动脉途径对肝癌患者行亚叶酸/5-氟尿嘧啶/奥沙利铂肝动脉持续灌注化疗的临床应用[J].介入放射学杂志,2023,32(05):474.
 QIAN Chaoyi,HAO Weiyuan,SHAO Guoliang,et al.Clinical application of hepatic arterial infusion chemotherapy via radial artery access by using FOLFOX scheme in treating patients with liver cancer[J].journal interventional radiology,2023,32(04):474.

备注/Memo

备注/Memo:
(收稿日期:2016-10-03)
(本文编辑:边 佶)
更新日期/Last Update: 2017-04-11