梁静,周玉杰,刘晓丽,王志坚,张琳琳,杨丽霞

• 1:首都医科大学附属北京安贞医院心内科十二病房

摘要(Abstract)：

目的评价4F造影导管经桡动脉途径行冠状动脉造影的可行性与安全性。方法入选2008年5月至2009年5月于安贞医院就诊初次行冠状动脉造影的患者947例,使用随机数字表随机分为4F导管组和5F导管组。比较两组间造影成功率、造影图像质量、手术时间、对比剂用量、压迫止血时间、单导管完成率、导管打结率、桡动脉痉挛发生率以及术中和术后不良心血管事件,分别于术前24h,术后24h,术后4周行右桡动脉彩色多普勒超声。结果 4F导管组和5F导管组在造影成功率、造影图像质量、手术时间、对比剂用量、单导管完成率、导管打结率、桡动脉痉挛发生率等方面差异均无统计学意义,压迫止血时间4F组显著短于5F组(4.62±0.98)h比(6.36±0.93)h,P<0.001。除5F组一例患者于术中出现心室颤动外,两组患者均未出现院内、院外死亡、急性血栓事件、严重出血事件、前臂大血肿等;4F组桡动脉闭塞、桡动脉内膜增厚率均显著少于5F组(分别为0.60%比2.30%,P=0.038;1.10%比4.10%,P=0.003)。结论 4F造影导管经桡动脉行冠状动脉造影术安全、可行,同时对桡动脉损伤小,血管并发症少,术后压迫止血时间短,舒适度更高。

关键词(KeyWords)： 桡动脉;冠状血管造影术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 梁静,周玉杰,刘晓丽,王志坚,张琳琳,杨丽霞

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