辛丽娜,谢莲娜,魏显敬,杨雪,解泽宙,贾圣英,徐思维,王凯君

• 1:大连大学附属中山医院循环四科

摘要(Abstract)：

目的 观察经远端桡动脉路径（dTRA）行冠状动脉造影（CAG）和（或）经皮冠状动脉介入治疗（PCI）后围术期前臂桡动脉闭塞的发生率。方法 选取2019年12月至2021年5月在大连大学附属中山医院成功经dTRA进行CAG和（或）PCI的患者。记录术后压迫止血时间，分别于操作结束时及解除压迫止血绷带时以Wong-Banker面部表情量表（FRS-R）评估操作及术后压迫止血过程中患者的耐受程度，于出院前以触摸法、逆Allen试验、逆巴氏试验评估围术期前臂桡动脉通畅情况，对桡动脉通畅不良的患者以彩色多普勒超声检测前臂桡动脉闭塞情况。结果 在接受dTRA的920例患者中，821例（89.2%）成功。患者平均年龄（64.44±10.91）岁，女325例（39.6%），身体质量指数（25.41±3.42）kg/m~2。其中CAG 537例（65.4%）,PCI 284例（34.6%）。448例（54.6%）应用6 F鞘管。经左侧dTRA 535例（65.2%）。操作过程中中度疼痛（FRS-R 4～6分）87例（10.6%），重度疼痛（FRS-R 7～10分）4例（0.5%）；压迫止血过程中中度疼痛48例（5.8%），未见重度疼痛患者。730例（88.9%）患者穿刺部位止血时间在2 h内，其中CAG患者220例（41.0%）止血时间在1 h内。围术期前臂桡动脉闭塞7例（0.9%）。结论 经dTRA行冠状动脉介入诊疗术后围术期前臂桡动脉闭塞的发生率较低。

关键词(KeyWords)： 桡动脉闭塞;经皮冠状动脉介入治疗;冠状动脉血管造影;经远端桡动脉路径

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 辛丽娜,谢莲娜,魏显敬,杨雪,解泽宙,贾圣英,徐思维,王凯君

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