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目的探讨经桡动脉途径进行冠心病介入诊疗的可行性、安全性及临床应用价值。方法选择2009年6月至2011年12月期间住院拟诊或确诊冠心病患者486例,进行经桡动脉途径冠心病介入诊疗。结果成功经桡动脉介入诊疗482例,成功率为99.1%,未出现死亡、急性心肌梗死、急诊外科搭桥、脑卒中、前臂骨筋膜室综合征、桡动脉闭塞等并发症,出现桡动脉痉挛2例,假性动脉瘤1例,脉搏减弱者1例,穿刺局部血肿8例。结论经桡动脉途径行冠心病介入诊疗安全、止血方便、局部并发症少,患者痛苦小、创伤少,不需要持续卧床而容易接受,值得推广。
Objective To investigate the feasibility, safety and clinical value of transradial approach for coronary intervention. Methods From June 2009 to December 2011, 486 inpatients with suspected or diagnosed CHD were enrolled in the study. Results 482 cases were successfully treated with radial artery intervention. The success rate was 99.1%. There was no complications such as death, acute myocardial infarction, emergency surgical bypass, stroke, forearm compartment syndrome, radial artery occlusion, and radial artery spasm 2 cases, 1 case of pseudoaneurysm, 1 case of pulse weakening, 8 cases of puncture local hematoma. Conclusion Coronary artery disease via transradial approach is safe and convenient for hemostasis, with fewer local complications. It is less painful, less traumatic and does not require continuous bed rest and is worthy of promotion.