中国医学装备2025，Vol.22Issue(8)：36-40,5.DOI:10.3969/j.issn.1672-8270.2025.08.007
经桡动脉入路行冠状动脉造影对老年冠心病患者造影成功率、辐射剂量及安全性的影响
Influences of radial artery CAG on the success rate,radiation dose and safety of angiography in elderly CHD patients
摘要
Abstract
Objective:To analyze the influences of coronary angiography(CAG)of transradial artery on the success rate,radiation dose and safety in elderly patients with coronary heart disease(CHD).Methods:This study conducted a prospective study.A total of 150 elderly CHD patients who admitted to Heilongjiang Rad Cross Sengong General Hospital from November 2022 to November 2023 were selected,and they were randomly divided into three groups using a random number table,which included the femoral artery group(n=50),radial artery group(n=50),and ulnar artery group(n=50).The femoral artery group underwent CAG by using the femoral artery approach,and the radial artery group underwent CAG by using the radial artery approach,and the ulnar artery group underwent CAG by using the ulnar artery approach.The CAG success rate and CAG indicators[dosage of contrast agent,X-ray exposure time,time of conducting puncture,corrected TIMI frame count(CTFC)]were compared among the three groups.The radiation-related parameters[cumulative dose(CD),dose-area product(DAP)]also were compared among three groups.The patients'comfort degrees of three groups were assessed by adopting General Comfort Questionnaire(GCQ)at three time points(pre-CAG,during CAG,at the 12th hour post-CAG).In addition,the complications of three groups were recorded.Results:The numbers of success angiography were respectively 47 cases,48 cases and 46 cases in femoral artery group,radial artery group and ulnar artery group,and the success rates of them were respectively 94.00%(47/50),96.00%(48/50)and 92.00%(46/50),without statistically significant differences among three groups(P>0.05).There were not significant differences in the dosage of contrast agent,X-ray exposure time,time of conducting puncture,CTFC,CD and DAP among three groups(P>0.05).In the GCQ scores,the scores pre-CAG of all three groups were highest,followed by those at the 12th hour post-CAG,and then,those during CAG were lowest,which appeared a trend of rise after decline.The total incidence of complication was lowest(6.25%)in the radial artery group,followed by the ulnar artery group(10.87%),and that(21.28%)of the femoral artery group was the highest,but there was not statistically significant difference in that among three groups(P>0.05).Conclusion:The CAG success rates of the radial artery,femoral artery and ulnar artery are similar,and there is not significant difference in radiation dose.However,compared with CAG of femoral artery and ulnar artery,the CAG of radial artery has higher safety,and higher comfort degree at the same time.关键词
冠心病(CHD)/冠状动脉造影(CAG)/桡动脉/股动脉/尺动脉/路径Key words
Coronary heart disease(CHD)/Coronary angiography(CAG)/Radial artery/Femoral artery/Ulnar artery/Access approach分类
医药卫生引用本文复制引用
唐博弢,周畅,于秋宏,赵伟豪,任晓晶..经桡动脉入路行冠状动脉造影对老年冠心病患者造影成功率、辐射剂量及安全性的影响[J].中国医学装备,2025,22(8):36-40,5.基金项目
黑龙江省卫生健康委科技计划(20230303100449) Science and Technology Program of Health Commission of Heilongjiang Province （20230303100449）
