王斌,韩雅玲,王效增,荆全民,梁振洋,马颖艳,王耿,刘海伟,赵昕,徐凯,邓捷,关绍义

• 1:沈阳军区总医院心血管病研究所心血管内科

摘要(Abstract)：

目的研究经左桡动脉行冠状动脉桥血管造影的可行性。方法收集沈阳军区总医院心血管内科自2012年1月至2014年6月冠状动脉旁路移植术(coronary artery bypass grafting,CABG)后行冠状动脉桥血管造影的患者45例,按造影入径分为经左桡动脉组(13例)和经股动脉组(32例)。观察造影成功率、完成静脉桥造影时间、完成左乳内动脉(left internal mammary artery,LIMA)造影时间、术中造影导管数量及对比剂用量;术后穿刺点局部有无出血、血肿、假性动脉瘤及动静脉瘘等并发症。结果两组患者造影成功率比较差异无统计学意义;完成静脉桥造影时间、术中导管应用数量及对比剂用量亦差异无统计学意义;完成LIMA造影时间经桡动脉入径与经股动脉入径比较,差异有统计学意义[(4.7±4.4)min比(9.6±6.3)min,P=0.023];两组患者术后并发症发生率差异无统计学意义。结论经左桡动脉行冠状动脉桥血管造影可行,尤其行LIMA造影操作简单,用时短。

关键词(KeyWords)： 冠状动脉造影;桥血管;桡动脉;股动脉

Abstract:

Keywords:

基金项目(Foundation): 沈阳军区总医院基金资助(09Y-Q01)

作者(Author): 王斌,韩雅玲,王效增,荆全民,梁振洋,马颖艳,王耿,刘海伟,赵昕,徐凯,邓捷,关绍义

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