Abstract:Objective: To analyze the causes of acute occlusion of radial artery after radial artery puncture, and to speculate the possibility of occlusion after radial artery puncture by scientific means in clinical practice, so as to reduce the incidence of acute occlusion of radial artery. Methods: From June 2017 to May 2018, 845 consecutive patients underwent percutaneous coronary intervention through radial artery puncture in our hospital were enrolled. Radial artery pulsation was examined by two experienced doctors 72 hours after removing the sheath tube of the radial artery. The acute occlusion of the radial artery was determined by the decrease of oxygen saturation of the thumb and finger. The patients were divided into the radial artery occlusion group and the non-radial artery occlusion group. Clinical data were collected and analyzed statistically. Result: A total of 845 patients divided into radial artery occlusion group, n=46 and radial artery non-occlusion group n=799. By statistical analysis the ratio of female, the age, the medical history of hypertension, the medical history of hypertension diatebes, the medical history of hypertension of hypertriglyceridemia and the retention time of radial artery sheath are higher than in the radial artery non-occlusion group, P≤0.05. The difference was statistically significant. Conclusion: The causes of acute occlusion after radial artery puncture are closely related to females, seniors, hypertension, diabetes, hypertriglyceridemia and the time of radial artery puncture and catheterization.
赵洁, 刘静怡, 刘佳梅, 张英, 韩冷. 桡动脉穿刺后引起桡动脉急性闭塞的原因分析[J]. 河北医学, 2019, 25(2): 299-302.
ZHAO Jie, LIU Jingyi, LIU Jiamei, et al. Analysis on the Cause of Acute Occlusion of Radial Artery After Radial Artery Puncture. HeBei Med, 2019, 25(2): 299-302.
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