1.33mm(4F)造影导管经桡动脉入路行冠状动脉造影的可行性分析Feasibility analysis of coronary angiography by transradial approach with 4 F catheter
吴小凡,陈韵岱,吕树铮,柳弘,周渊,陈欣,葛长江,金泽宁,宋现涛,孟康,田锐
摘要(Abstract)：
目的探讨使用1.33mm(4F)造影导管经桡动脉入路行诊断性冠状动脉造影的可行性。方法选择经桡动脉入路冠状动脉造影患者138例,术后随访2周至1个月,观察操作过程、造影图像质量、术中及术后并发症。结果造影成功率为97.7%;X线透视时间5.05±3.23min,操作总时间20.51±3.37min;造影导管到位固定不佳10例(7.8%),超选12例(9.4%);造影图像质量评分前降支2.87±0.40分,回旋支2.88±0.39分,右冠状动脉2.90±0.35分;术中桡动脉痉挛6例(4.3%),冠状动脉痉挛2例(1.5%),术后无桡动脉闭塞。结论合理选择病例使用1.33mm造影导管经桡动脉行冠状动脉造影导管操作、控制方便,造影图像质量好,血管并发症少。
关键词(KeyWords)： 桡动脉;冠状血管造影术
基金项目(Foundation):
作者(Author): 吴小凡,陈韵岱,吕树铮,柳弘,周渊,陈欣,葛长江,金泽宁,宋现涛,孟康,田锐
参考文献(References)：
- [1]Veselka J,Telekes P,Tesar D,et al.Ambulatory"approach to selective coronary angiography:our results and experience.Vnitr Lek,1999,45:148-150.
- [2]Berti S,Feres F,Castro D,et al.Coronary arteriography with a very low profile catheter:efficacy and safety of the procedure and of the60minute hospital discharge.Arq Bras Cardiol,1998,70:3-7.
- [3]姚民,乔树宾,王东方,等.使用5F造影导管经桡动脉径路冠状动脉造影689例体会.中国循环杂志,2002,17:374-376.
- [4]Haresh Mehta,Tushar Chatterjee,Stephan Windecker,et al.Four French catherters for diagnostic coronary angiography.Cathet Cardiovasc Intervent,2003,58:275-280.
- [5]Derick M,Todd MB,Peter J,et al.Multicentre,Prospective,Randomized trial of4vs6french catheters in410patients undergoing coronary angiography.Cathet Cardiovasc Intervent,2001,54:269-275.
- [6]Fukuda N,Iwahara S,Harada A,et al.Vasospasms of the radial artery after the transradial approach for coronary angiography and angioplasty.Jpn Heart J,2004,45:723-731.
- [7]Nigel M.Coronary angiography using4french catheters.Int J Cardiol,2001,1:5-6.