经桡动脉冠状动脉腔内成形术及支架术51例经验报道(摘要)
作者：魏盟 严卫 樊冰 王齐冰 潘翠珍 戎卫海 何梅先 蔡乃绳 陈灏珠
单位：上海市，上海医科大学中山医院 上海市心血管病研究所 心内科
关键词：
中国循环杂志99zk52 目的：评价国人经桡动脉冠状动脉腔内成形术(PTCA)的可行性。
方法：我院1998年7月至1999年2月间共行PTCA 63例，其中51例采用经桡动脉法完成PTCA，其中男性46例，女性5例，平均年龄为60.0±9.6(40～80)岁。33例于术前及术后用彩色多普勒二维超声检测了右桡动脉的内径及平均血流速度。
结果：术前桡动脉内径为0.18～0.37 cm(平均0.260±0.046 cm),桡动脉平均血流速度为23～98 cm/s(54.16±19.45 cm/s)。术后桡动脉直径为0.21～0.39 cm(平均0.250±0.031 cm),桡动脉平均血流速度为22.4～100.0 cm/s(平均52.79±28.36 cm/s),术前与术后相比，桡动脉内径及平均血流速度之间无明显差别(P>0.05)。共对71处病变实施了PTCA，其中A型病变30处，B型病变17处，C型病变24处，放置冠状动脉内支架51枚，其中A型病变25处，B型病变12处，C型病变14处，最短支架为9 mm,最长为40 mm;最小直径为2.5 mm,最大为3.5 mm。所有病例均为冠状动脉造影后即刻行PTCA，手术成功率为92.2%(46/51),4例未成功，均为前降支完全闭塞，导丝未能通过病变。无一例转股动脉途径手术。并发症1例，为欲对右冠状动脉中段PTCA而指引导管进入过深造成近端血管严重夹层分离。术后未见桡动脉闭塞及血管并发症。
, http://www.100md.com
结论：经桡动脉PTCA病人创伤小，恢复快，是进行PTCA的又一安全、可行的选择途径。
Experience of Transradial Coronary Angioplasty and Stenting in 51 Chinese Patients (Abstract)
Department of Cardiology, Shanghai Institute of Cardiovascular Diseases and Zhong Shan Hospital
of Shanghai Medical University, Shanghai (200032)
Wei Meng, Yan Wei, Fan Bing, et al.
Objective: To get experiences of coronary angioplasty via the radial artery on Chinese population and evaluate its safety and possibility.
, 百拇医药
Methods: Fifty-one out of 63 patients were selected from June 1998 to February 1999 to be undertaken ad hoc coronary angioplasty via the radial artery in Zhong zhan Hospital, Shanghai. The average age of these patients was 60.0±9.5 (40～80), male patients were 46, female patients were 5. The right radial arteries were preferred to perform coronary angioplasty with Judkins technique. The inner diameters and average blood velocity of the right radial artery wwere measured with color Doppler echocardiogram in 33 patients and after coronary angioplasty.
, 百拇医药
Results: Before coronary angioplasty, the diameters of the right radial artery were 0.18～0.37 cm (0.260±0.046 cm), the average blood velocities were 23～98 cm/s (54.16±19.45 cm/s). After coronary angioplasty, the diameters of the right radial artery were 0.21～0.39 cm (0.250±0.031 cm), the average blood velocities were 22.4～100 cm/s (52.79±28.36 cm/s), the differences of the diameters of the right radial artery as well as the average blood velocities between before coronary angioplasty and after coronary angioplasty were insignificant (p>0.05). Balloon angioplasty was performed in 71 lesions (30 type A, 17 type B, and 24 type C). 51 stents were implanted in 51 lesions (25 type A, 14 type B, and 12 type C). Among the 51 stents the shortest was 9 mm, the longest was 40 mm, the smallest in diameter was 2.5 mm, the biggest in diameter was 3.5 mm. Procedural success was achieved in 47 patients (92.2%). In 4 patient, the guide wires could not be delivered to the distal segments of the diseased coronary arteries due to chronic occlusion in LAD. Access-related complications and occlusion of right radial arteries were not found during hospital stay. Only in one patient, the guiding catheter resulted in nonfatal non-Q wave myocardial infarction.
Conclusion: Transradial angioplasty and stenting are both feasible and safe with a low risk of access complications and with excellent procedural success in our built Chinese population., 百拇医药
单位：上海市，上海医科大学中山医院 上海市心血管病研究所 心内科
关键词：
中国循环杂志99zk52 目的：评价国人经桡动脉冠状动脉腔内成形术(PTCA)的可行性。
方法：我院1998年7月至1999年2月间共行PTCA 63例，其中51例采用经桡动脉法完成PTCA，其中男性46例，女性5例，平均年龄为60.0±9.6(40～80)岁。33例于术前及术后用彩色多普勒二维超声检测了右桡动脉的内径及平均血流速度。
结果：术前桡动脉内径为0.18～0.37 cm(平均0.260±0.046 cm),桡动脉平均血流速度为23～98 cm/s(54.16±19.45 cm/s)。术后桡动脉直径为0.21～0.39 cm(平均0.250±0.031 cm),桡动脉平均血流速度为22.4～100.0 cm/s(平均52.79±28.36 cm/s),术前与术后相比，桡动脉内径及平均血流速度之间无明显差别(P>0.05)。共对71处病变实施了PTCA，其中A型病变30处，B型病变17处，C型病变24处，放置冠状动脉内支架51枚，其中A型病变25处，B型病变12处，C型病变14处，最短支架为9 mm,最长为40 mm;最小直径为2.5 mm,最大为3.5 mm。所有病例均为冠状动脉造影后即刻行PTCA，手术成功率为92.2%(46/51),4例未成功，均为前降支完全闭塞，导丝未能通过病变。无一例转股动脉途径手术。并发症1例，为欲对右冠状动脉中段PTCA而指引导管进入过深造成近端血管严重夹层分离。术后未见桡动脉闭塞及血管并发症。
, http://www.100md.com
结论：经桡动脉PTCA病人创伤小，恢复快，是进行PTCA的又一安全、可行的选择途径。
Experience of Transradial Coronary Angioplasty and Stenting in 51 Chinese Patients (Abstract)
Department of Cardiology, Shanghai Institute of Cardiovascular Diseases and Zhong Shan Hospital
of Shanghai Medical University, Shanghai (200032)
Wei Meng, Yan Wei, Fan Bing, et al.
Objective: To get experiences of coronary angioplasty via the radial artery on Chinese population and evaluate its safety and possibility.
, 百拇医药
Methods: Fifty-one out of 63 patients were selected from June 1998 to February 1999 to be undertaken ad hoc coronary angioplasty via the radial artery in Zhong zhan Hospital, Shanghai. The average age of these patients was 60.0±9.5 (40～80), male patients were 46, female patients were 5. The right radial arteries were preferred to perform coronary angioplasty with Judkins technique. The inner diameters and average blood velocity of the right radial artery wwere measured with color Doppler echocardiogram in 33 patients and after coronary angioplasty.
, 百拇医药
Results: Before coronary angioplasty, the diameters of the right radial artery were 0.18～0.37 cm (0.260±0.046 cm), the average blood velocities were 23～98 cm/s (54.16±19.45 cm/s). After coronary angioplasty, the diameters of the right radial artery were 0.21～0.39 cm (0.250±0.031 cm), the average blood velocities were 22.4～100 cm/s (52.79±28.36 cm/s), the differences of the diameters of the right radial artery as well as the average blood velocities between before coronary angioplasty and after coronary angioplasty were insignificant (p>0.05). Balloon angioplasty was performed in 71 lesions (30 type A, 17 type B, and 24 type C). 51 stents were implanted in 51 lesions (25 type A, 14 type B, and 12 type C). Among the 51 stents the shortest was 9 mm, the longest was 40 mm, the smallest in diameter was 2.5 mm, the biggest in diameter was 3.5 mm. Procedural success was achieved in 47 patients (92.2%). In 4 patient, the guide wires could not be delivered to the distal segments of the diseased coronary arteries due to chronic occlusion in LAD. Access-related complications and occlusion of right radial arteries were not found during hospital stay. Only in one patient, the guiding catheter resulted in nonfatal non-Q wave myocardial infarction.
Conclusion: Transradial angioplasty and stenting are both feasible and safe with a low risk of access complications and with excellent procedural success in our built Chinese population., 百拇医药