[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.
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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()

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《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.
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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