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纸质出版:2009
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方玉强,杨成明,王旭开,曾春雨,王红勇,石伟彬,付春江,张晔,陈乔.经桡动脉途径外周血管造影的初步体会[J].陆军军医大学学报(原第三军医大学学报),2009,31(04):363-364.
FANG Yu-qiang,YANG Cheng-ming,WANG Xu-kai,ZENG Chun-yu,WANG Hong-yong,SHI Wei-bin,FU Chun-jiang,ZHANG Ye,CHEN Qiao.Transradial peripheral arteriography: report of 180 cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(04):363-364.
方玉强,杨成明,王旭开,曾春雨,王红勇,石伟彬,付春江,张晔,陈乔.经桡动脉途径外周血管造影的初步体会[J].陆军军医大学学报(原第三军医大学学报),2009,31(04):363-364. DOI:
FANG Yu-qiang,YANG Cheng-ming,WANG Xu-kai,ZENG Chun-yu,WANG Hong-yong,SHI Wei-bin,FU Chun-jiang,ZHANG Ye,CHEN Qiao.Transradial peripheral arteriography: report of 180 cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(04):363-364. DOI:
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>178 cm,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 evaluate the safety and efficacy of peripheral arteriography through transradial artery approach. Methods Totally 180 patients (106 males and 74 females) were examined. Results The success rate was 100% in angiography of subclavian artery
vertebral artery and carotid artery on the right side
while that was 93.3% (168/180) on the left side. The success rate of angiography was 84.3% (70/83) for renal artery. The cause of failure was abnormal curvature of aortic arch (4.6%
4/83) or the body height above 178 cm (11.1%
9/83). The perioperative complications were radial arteriospasm (3.9%
7/180)
radial arterial occlusion after operation (2.2%
4/180)
subcutaneous hemorrhage of puncture site (8.3%
15/180). There were no hemorrhage
arterio-venous fistula
pseudoaneurysm or skin infection after operation. Conclusion Transradial approach for peripheral arteriography is a safe
effective and easily accepted method.
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