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|本期目录/Table of Contents|

经桡动脉PTCA及支架植入术在冠心病中的应用(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第1期
页码:
23-24
栏目:
临床研究
出版日期:
2003-01-01

文章信息/Info

Title:
Clinical experience of trans-radial coronary angioplasty and stenting
作者:
唐发宽1; 熊卫国2
1.解放军309医院心内科,北京100091;2.清华大学医学院附属酒仙桥医院心内科,北京100016
Author(s):
TANGFa-kuan1; XIONGWei-guo2
1.Department of Caodiology,309th Hospital of P.L.A.Beijing 100091;2.Jiuxianqiao Hospital,Tsinghua University Medical School,Beijing100016
关键词:
血管成形术; 经腔; 经皮冠状动脉; 支架; 桡动脉
Keywords:
angioplasty; transluminal; percutaneous coronary; stents; radia
分类号:
R543.3
DOI:
-
文献标识码:
A
摘要:
目的:评价经桡动脉冠状动脉腔内成形术在冠心病应用的可行性。方法:选自1999-03～2002-04行经桡动脉冠状动脉腔内成形术(PTCA)70(男56,女14)例,年龄56.8±8.2岁。结果:共对82处病变实施了PTCA,其中A型病变18处,B型病变31处,C型病变21处;置入支架86枚,其中A型病变22枚,B型病变39枚,C型病变25枚,最短支架为9mm,最长为35mm;最小直径为2.0mm,最大为3.5mm。所有病例均为冠状动脉造影后即刻行PTCA,手术成功率92.9%(65/70),5例未成功。术后未见桡动脉闭塞及血管并发症。结论:经桡动脉PTCA,对患者创伤小,恢复快,是进行PTCA的又一安全、可行的选择途径。
Abstract:
AIM: To evaluate the feasibility of trans-radial coronary angioplasty and stenting in coronary artery disease.METHODS:70 patients were selected to undertake trans-radial coronary angioplasty.The average age of these patients was(56.8±8.2)years,56 patients wasmale,14 female.The right radial arteries were preferred to perform coronary artery angioplasty with Judkins technique.RESULTS:Balloon angioplasty was performed in 82 lesions(18 type A,31 type B,21 type C).86 stents were implanted in 82 lesions(22 type A,39 type B,25 type C).Among the 86 stents the shortest was 9 mm,the longest was 35 mm,the smallest in diameter was 2.0mm,the biggest in diameter was 3.5mm.Procedural success was achieved in 65 patients(92.9%).The procedure failed in 5 patients because guide wires and stents could not pass through chronic occlusive lesions of LAD,LCX and RCA.Access-related complications and occlusion of right radial arteries were not found during hospital stay.COCLUSION:Trans-radial angioplasty and stenting wre both feasible and safe with a low risk of access complications and with excellent procedural success.

参考文献/References

[1] Campeau L. Percutaneous radial artery approach for coronary angiography [J] . Cathet Cardiovasc Diagn,1989,16:3-7.

[2] Kiemeneij F, Laarman GJ. Percutaneous radial artery approach for coronary stent implantation [J] . Cathet Cardiovasc Diagn, 1993, 30:173-183.

[3] Kiemeneij F, Laarman GJ. Percutaneous trans-radial artery Palmaz-Schatz coronary stent implantation:results of singlecenter feasibility study [J] . Am Heart J, 1995, 130:14-21.

[4] 蒋金法, Michel Berthet-Bondet. 经桡动脉和股动脉冠状动脉内支架置入术对比观察 [J] . 中国介入心脏病学杂志, 2000, 8:177-179.

[5] Stella PR, Kiemeneij F, Laarman GJ, et al. Incidence and outcome of radial artery occlusion following trans-radial artery coronary angioplasty [J] . Cathet Cardiovasc Diagn, 1997, 40:156-158.

[6] Goldberg SL, Renslo R, Sinow R, et al. Learning curve in the use of the radial artery as vascular access in the performance of percutaneous transluminal coronary angioplasty [J] . Cathet Cardiovasc Diagn,1998,44:142-145

备注/Memo

备注/Memo:
收稿日期：2002-05-21.
更新日期/Last Update: 2003-01-01