摘要:
目的 探讨经右前臂同次行冠状动脉造影及右心导管检查的可行性。 方法 对40例在我科就诊经右桡动脉行冠状动脉造影及左室造影后疑诊肺动脉高压患者,随机分为两组,治疗组经右上肢静脉行标准右心导管检查,对照组经股静脉行标准右心导管检查,其中治疗组20例经上肢静脉穿刺失败改为股静脉穿刺。 结果 两组穿刺成功率、进鞘管及导管成功率、静脉闭塞率及右心导管的数值等均无统计差异(P>0.05),治疗组消毒-穿刺时间(5.3±2.6)min、止血时间(5.5±3.2)min、术后卧床休息时间(1.0±1.6)h、并发症、术后住院时间(1.2±2.7)d及患者满意度均优于对照组(P<0.01)。 结论 经右上肢同次完成冠状动脉造影及右心导管简便、安全可行,可作为冠脉造影后行右心导管的检查路径。
Abstract:
Objective To study the feasibility of combined coronary angiography and right cardiac catheterization through right upper extremity. Methods Forty patients suspected of pulmonary hypertension after coronary arteriography and left ventricular imaging through the right radial artery in our department were randomly divided into treatment group and control group（20 in each group）.Patients in treatment group received standard right cardiac catheterization through the right upper extremity vein and those in control group underwent standard right cardiac catheterization through femoral vein.Those in treatment group who failed in upper extremity vein puncture were transferred to femoral vein puncture. Results No significant difference was found in the success rate of puncture,sheath feeding pipe and tube,and vein occlusion rate and right cardiac catheterization value between the two groups（P＞0.05）.The disinfection-puncture time,hemostatic time,postoperative bed rest time,complication,and postoperative hospital stay time were（5.3±2.6） min,（5.5±3.2） min,（1.0±1.6） h,（1.2±2.7） d in treatment group,which were significantly different from those in control group（P＜0.01）.The satisfaction degree was higher in treatment group than in control group（P＜0.01）. Conclusion Combined coronary arteiography and right cardiac catheterization through the right upper extremity is a simple,safe and feasible procedure for right cardiac catheterization after coronary arteiography.
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