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目的:分析常规经桡动脉途径行冠状动脉介入治疗的临床疗效及可行性和安全性。方法:对我院2005-07/2008-07 366例常规拟行经桡冠脉造影和PCI患者进行回顾性分析。结果:桡动脉穿刺成功率100%,经桡冠脉造影PCI成功率98.9%,术后并发症:皮下瘀斑面积大于5 cm×5 cm的发生率2%,皮下血肿大于1 cm×1 cm的发生率1%、与穿刺相关的死亡0,桡动脉栓塞、全身大出血、动静脉瘘、手神经损伤、皮肤寻麻疹、迷走反射的发生率均为0。结论:常规经桡动脉途径行冠脉造影和PCI安全、有效,有显著优点,应在临床大力推广。
Objective: To analyze the clinical efficacy, feasibility and safety of routine transradial approach to coronary artery intervention. Methods: A retrospective analysis was performed on 366 routinely performed radial coronary angiography and PCI in our hospital from July 2005 to July 2008. Results: The successful rate of radial artery puncture was 100%. The success rate of radial coronary angiography was 98.9%. The incidence of postoperative complications was 2%, the subcutaneous ecchymosis area was larger than 5 cm × 5 cm, and the subcutaneous hematoma was larger than 1 cm × 1 cm The incidence of puncture-related death 0, radial artery embolism, systemic hemorrhage, arteriovenous fistula, hand nerve injury, skin measles finding, vagal reflex were all 0%. Conclusion: Conventional transradial coronary angiography and PCI are safe, effective and have significant advantages. They should be vigorously promoted in clinic.