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目的探索经桡动脉途径开展外周血管造影的安全性和有效性。方法对180例(男性106例,女性74例)患者进行经桡动脉途径的外周血管造影,其中双侧颈动脉、双侧椎动脉、双侧锁骨下动脉采用5F共用型造影管,部分左侧血管采用猪尾造影管;双肾动脉采用6F猪尾造影管或J6FR4.0造影管。结果用共用型造影管右侧锁骨下动脉、椎动脉、颈动脉造影成功率均为100%(180/180),左侧锁骨下动脉、椎动脉、颈动脉成功率均为93.3%(168/180),其中约6.7%(12/180)需用猪尾造影管造影,双侧肾动脉造影成功率为84.3%(70/83);造影不成功或显影不佳的主要原因为主动脉弓迂曲,占4.8%(4/83),或身高>178cm,占10.8%(9/83);手术中发生桡动脉痉挛占3.9%(7/180),术后桡动脉闭塞占2.2%(4/180),穿刺部位皮下出血为8.3%(15/180),与术后手部活动少有关。术后无出血、动静脉瘘、假性动脉瘤及皮肤破溃感染发生。结论经桡动脉途径进行部分外周血管造影是一种安全、有效、易于接受的介入诊治方法。
Objective To explore the safety and efficacy of transradial approach to peripheral angiography. Methods A total of 180 patients (106 males and 74 females) underwent transradial arterial angiography. The bilateral common carotid artery, bilateral vertebral artery and bilateral subclavian artery were treated with 5F common contrast tube, Blood vessels with pig tail angiography; renal artery using 6F pig tail or CRT imaging tube J6FR4.0. Results The success rates of subclavian artery, vertebral artery and carotid artery on the right side of common contrast tube were all 100% (180/180). The success rates of the left subclavian artery, vertebral artery and carotid artery were 93.3% (168 / 180). Approximately 6.7% (12/180) of them need pigtail angiography. The success rate of bilateral renal artery angiography was 84.3% (70/83). The main reason of unsuccessful angiography or poor imaging was tortuous aorta, accounting for 4.8% (4/83), or height> 178cm, accounting for 10.8% (9/83). The incidence of radial artery spasm in operation was 3.9% (7/180) and the rate of radial artery occlusion was 2.2% (4/180) , Puncture site subcutaneous hemorrhage was 8.3% (15/180), with less postoperative hand activities. No postoperative bleeding, arteriovenous fistula, pseudoaneurysm and skin ulceration occurred. Conclusion Transradial approach to partial peripheral angiography is a safe, effective and easily accepted interventional diagnosis and treatment.