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|本期目录/Table of Contents|

经右桡动脉途径行冠状动脉造影连同肾动脉造影的体会

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2014年第1期
页码:
74-76
栏目:
临床研究
出版日期:
2013-12-02

文章信息/Info

Title:
Coronary angiography and renal arteriography via right radial artery
作者:
张施明
(柳州医学高等专科学校第一附属医院心内科,广西 柳州 545002)
Author(s):
ZHANG Shi-ming
(Department of Cardiology, First Affiliated Hospital, Liuzhou Medical College, Liuzhou 545002, Guangxi China)
关键词:
肾动脉造影; 冠状动脉造影; 右桡动脉
Keywords:
renal arteriography;  coronary angiography;  right radial artery
分类号:
R814.43
DOI:
-
文献标识码:
A
摘要:
目的:探讨经右桡动脉途径行冠状动脉造影连同肾动脉造影的可行性。方法:2009年01月~2013年1月，我院行经右桡动脉途径行冠状动脉造影连同肾动脉造影52（男31，女21）例，年龄35～79（59±10）岁，身高149～172（158±7） cm，所有患者左、右手均为Allen试验阳性，右桡动脉穿刺成功后，先行冠状动脉造影，之后换用长度117 cm的5F MPA1造影导管行肾动脉造影检查，收集患者造影成功率、造影操作时间、X线曝光量、所用造影剂剂量、止血时间及并发症等情况。结果:冠状动脉造影成功率达100%，经右桡动脉行肾动脉造影成功率达96%，无严重并发症，止血时间短，术后患者即刻可下床活动。结论:经右桡动脉途径行冠状动脉造影连同肾动脉造影是安全可行的，值得临床选择性应用。
Abstract:
AIM:To explore the feasibility of right radial artery approach for coronary angiography and renal arteriography. METHODS: Right radial artery approach was applied for coronary angiography and renal arteriography in 52 cases (31 males and 21 females, aged 35-79(59±10) years, height 149-172(158±7) cm in our hospital from January 2009 to January 2013. Allen test was positive in both left and right hands in all the patients. After successful puncture of the right radial artery, coronary angiography was first performed, followed by renal artery angiography using a 5F MPA1 catheter (length 117 cm). The success rate, operation time, X-ray exposure time, the dose of contrast agent used, bleeding time and complications were examined. RESULTS: The success rate of coronary angiography was 100% and the success rate of renal artery angiography was 96%. No serious complications occurred, the bleeding time was short and the patients could get out of bed immediately after operation. CONCLUSION: Right radial artery approach for coronary angiography and renal arteriography is safe, feasible and worthy of clinical application.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2013-06-06.作者简介：张施明，主治医师 Email:zsmhys@163.com
更新日期/Last Update: 2014-01-20