[摘要] 目的：探讨经桡动脉穿刺行冠状动脉介入治疗的可行性和安全性。方法：116例冠心病患者，男96例,女20例，年龄(57±14)岁，经桡动脉穿刺行冠状动脉介入治疗。结果：5例桡动脉穿刺失败改行股动脉穿刺，2例桡动脉穿刺虽成功但试行球囊扩张失败，其余患者均取得穿刺和介入治疗成功。结论：经桡动脉穿刺行冠状动脉介入治疗在临床上可行，但穿刺较困难,导引导管支撑力较差,应警惕局部血管损伤的可能。

    [关键词] 桡动脉；介入治疗；冠心病

    [中图分类号] R541 [文献标识码]A [文章编号]1673-7210(2007)12(c)-060-02

    Pecutenous transradial coronary intervention

    LI Xin

    (The 5th Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

    [Abstract] Objective: To study the feasibility and safety of transradial approach for coronary interventions. Methods: Coronary intervention was tried to be performed via transradial approach in 116 patients with coronary heart disease, 96 males, 20 females, mean age(57±14)years old.Results:Transradial puncture failed in 5 cases and coronary interventions were performed via transfemoral approach instead. Coronary intervention failed in 2 cases although transradial puncture succeeded. Both transradial puncture and coronary intervention succeeded in the rest 109 cases. Conclusion: Coronary intervention via transradial approach was feasible, but the radial artery puncture was somewhat difficult, and guiding catheter support is poor to some extent. One must be cautious about vascular damages near the puncture site. ......