摘要
目的 :探讨用Judkins导管经桡动脉途径行冠状动脉造影术的可行性和方法学。方法 :30 8例 ,男性 2 35例 ,女性 73例 ,平均年龄 (6 1 8± 8 7)岁。临床诊断 :稳定性心绞痛 10 5例 (34 1% ) ,不稳定性心绞痛 6 2例 (2 0 1% ) ,急性心肌梗塞 75例 (2 4 4 % ) ,其它 6 6例 (2 1 4 % )。手术过程 :1 Allen试验 ;2 桡动脉穿刺 ;3 用Judkins导管行选择性右冠和左冠造影。结果 :2 95例造影获得成功 ,成功率为95 8%。造影结果 :74例 (2 5 1% )冠脉正常 ,73例 (2 4 75 % )单支病变 ,73例 (2 4 75 % )双支病变 ,75例(2 5 4 % )三支病变。导管选择 :1.右冠造影 :2 95例中 ,2 85例 (96 6 % )用Judkins右冠导管 ,9例 (3 0 6 % )用Amplatz右冠导管 ,1例 (0 34% )用Voda右冠导管 ;2 左冠造影 :2 5 6例 (86 8% )用Judkins左冠导管 ,31例 (10 5 % )用Amplatz左冠导管 ,8例 (2 7% )用Voda左冠导管。结论 :用Judkins导管经桡动脉途径行冠状动脉造影是一种安全可行的选择 ;经皮穿刺桡动脉途径具有止血容易、术后无须卧床休息、病人痛苦小和并发症少等优点。
Objective:This is to evaluate the feasibility and methology of transradial coronary angiography with Judkins catheters. Method: Transradial coronary angiography were carried out in 308 patients. The average age of these patients was 61.8±8.7 years. Their diagnostics were respectively stable angina in 105 cases, unstable angina in 62 cases, acute myocardial infarction in 75 cases and other in 66 cases. Patients were selected on Allen test. After local anesthesia, radial artery was punctured and a 5 Fr or 6 Fr introducer was inserted into the artery; Selective coronary angiographies were performed with Judkins catheters or Amplatz catheters. Result: Transradial coronary angiography and ventriculography were successful in 295 patients (95.8%). Their angiographic results were as:normal in 74 patients (25.1%), single vessel disease in 73 patients (24.75%), double vessel disease in 73 patients (24.75%), triple vessel disease in 75 patients (25.4%). Choice of catheters: Right coronary angiography was completed with right Judkins catheter in 96.6% cases, with right Amplatz catheter in 3.06% cases and with Voda catheter in 0.34% cases. Left coronary angiography was completed with left Judkins catheter in 86. 8% cases, with left Amplatz catheter in 10.5% and with left Voda catheter in 2.7% cases. Conclusion: Judkins catheters are suitable for transradial coronary angiography, with a high successful rate. Radial artery seemed to be both feasible and safe approach for coronary angiography, with a very low risk of local complication and more comfort for patients. [
出处
《心肺血管病杂志》
CAS
2002年第4期211-213,共3页
Journal of Cardiovascular and Pulmonary Diseases
