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To investigate the common problems and related complications of the radial artery approach for coronary intervention, and to deal with the problems related to the coronary intervention in the radial artery approach.
From January 2010 to June 2010 to hospital heart internal medicine clinic in parallel by transradial approach coronary interventional diagnosis and treatment of patients with 276 cases, observed and recorded all patients underwent transradial artery coronary interventional diagnosis and treatment and analyzes the reasons.
276 cases of transradial coronary intervention in patients underwent transradial coronary angiography in 184 cases, including 26 cases of patients with coronary angiography failed, and femoral artery coronary angiography; and transradial coronary intervention in 92 patients, 2 patients with interventional therapy after the failure the femoral artery interventional therapy, to cause the main reason of failure diagnosis and treatment including puncture failure of transradial coronary intervention, radial artery spasm, radial artery, subclavian artery and ascending aorta in 248 patients with severe tortuosity; radial artery coronary intervention were successful, 8 cases of perioperative complications, which occurred in 2 cases the puncture site bleeding caused by radial artery sheath out of difficulty or pain in patients with 3 cases of radial artery spasm, 1 cases of forearm hematoma puncture, 1 cases with arrhythmia, but no radial artery Thrombosis and other serious complications.
Transradial coronary interventional diagnosis and treatment for patients with injury, hemostasis, and does not affect the patient's postoperative activities, but also increased the difficulty of operation. Therefore, it is necessary to the performer to strengthen the radial artery puncture skill, skilled selected catheter and guide wire and other equipment, effectively reduce the occurrence of radial artery spasm, hematoma, improve the quality of life of patients.