经鼻咽窝区桡动脉介入路径在冠脉造影及介入治疗中的经验分析

郑法; 宋琪; 徐琛基; 李献良; 路长鸿; 廉哲勋

doi:10.12125/j.chj.202102055

经鼻咽窝区桡动脉介入路径在冠脉造影及介入治疗中的经验分析

Experience analysis of distal transradial artery access in nasopharyngeal fossa region in coronary angiography and interventional therapy

摘要

摘要:
目的探讨经鼻咽窝区桡动脉入路行冠脉造影及介入治疗的有效性与安全性。
方法选取2020年6月～2020年12月在青岛阜外心血管病医院行冠脉造影及介入治疗的199例患者，分为对照组（经腕部近端桡动脉穿刺入路，n = 98）和研究组（经鼻咽窝区桡动脉入路，n = 101）；搜集患者的一般性住院资料、冠心病高危因素、穿刺时间、术后即刻疼痛（NRS）评分、术后3 h（NRS）评分、压迫止血时间、术后并发症等数据。
结果对照组共成功穿刺近端桡动脉96例，成功率98 %，研究组共成功穿刺鼻咽窝桡动脉96例，成功率95 %；差异无统计学意义；与对照组比较，研究组穿刺时间较长（P<0.01），术后3 hNRS评分较低（P<0.05），术后压迫时间较少（P<0.01），并发症二者差异无统计学意义。
结论经鼻咽窝区远端桡动脉介入路径行冠脉造影及介入治疗具有可行性、安全性和有效性，且在术后止血时间及术后3 h舒适度方面要优于近端桡动脉入路。

Abstract:
AIM To evaluate the effectiveness and safety of coronary angiography and interventional therapy through the distal transradial artery access.
METHODS Selected for this study were 101 patients who underwent coronary angiography and interventional therapy via distal transradial artery access in nasopharyngeal fossa region in Qingdao Fuwai Cardiovascular Disease Hospital from June 2020 to December 2020. The general hospitalization data, coronary heart disease risk factors, duration of puncture, postoperative pain score, postoperative complications and other data were collected. RESULTS A total of 96 patients were successfully penetrated through the distal transradial artery access in nasopharyngeal fossa region and the success rate was 98% (95%). NRS score was 2.9±1.9 immediately after operation and 2.0±1.8 again 3 hours after operation（P<0.01）, （P<0.05）, （P<0.01）. CONCLUSION Coronary angiography and interventional therapy via the distal radial artery in the nasopharyngeal fossa region is feasible, safe and effective, and can be used as the preferred interventional route except in some cases.

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