经桡动脉无鞘技术在冠状动脉左主干病变介入治疗中的应用Transradial sheathless technique in interventional treatment of coronary left main lesions
李其勇,贺勇,刘忠贵,黄德嘉
摘要(Abstract):
目的评估经桡动脉无鞘技术在冠状动脉左主干病变介入治疗中的可行性及安全性。方法对10例冠状动脉左主干病变患者采用经桡动脉无鞘技术行介入治疗,观察手术成功率和并发症情况。结果 10例患者中8例左主干病变累及前三叉,3例累及左主干开口;全部10例患者均选用7F指引导管经桡动脉无鞘技术成功完成手术,对8例累及左主干前三叉病变分别采用了cullote或crossover术式,7例患者最终进行了球囊对吻扩张;部分患者使用了血管内超声或切割球囊。随访期间无1例患者发生严重桡动脉穿刺并发症或主要不良心脑血管事件。结论经桡动脉无鞘技术可作为一种安全、可行的方法应用于冠状动脉左主干病变的介入治疗中。
关键词(KeyWords): 无鞘;桡动脉;冠状动脉疾病;血管成形术,经腔,经皮冠状动脉
基金项目(Foundation): 四川省卫生厅资助项目(070082,110202)
作者(Author): 李其勇,贺勇,刘忠贵,黄德嘉
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