温尚煜,王柏影,刘亮,黎辉

• 1:大庆油田总医院心内科

摘要(Abstract)：

目的评价经桡动脉普通导引导管7 F无鞘技术治疗冠状动脉复杂病变的安全性、可行性。方法纳入2013年11月至2014年4月,经桡/尺动脉置入6 F桡动脉鞘造影后,需要用7 F导引导管行介入治疗的患者31例。在桡动脉鞘内置入长260 cm,直径0.036 in(1 in=2.54 cm)非亲水涂层导丝至升主动脉;撤出桡动脉鞘,将6 F 110 cm猪尾管插入7 F 100 cm导引导管内,猪尾管头端突出于导引导管外;将猪尾管和导引导管呈一体,穿入长260 cm,直径0.036 in导引导丝,通过皮肤切口逐次进入桡动脉,导引导管到位后撤出猪尾管。结果 31例导引导管均成功通过桡动脉,到达靶冠状动脉开口,完成介入治疗后撤出导引导管。术后观察24 h,所有患者桡动脉穿刺处无出血,穿刺侧上肢未发生血肿、感觉障碍。术后1个月随访,未发生桡动脉闭塞。结论经桡动脉普通导引导管7 F无鞘技术是治疗冠状动脉复杂病变可选用的相对安全、有效的途径。

关键词(KeyWords)： 桡动脉;无鞘技术;经皮冠状动脉介入治疗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 温尚煜,王柏影,刘亮,黎辉

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