The effect and prognosis of percutaneous radial artery puncture for whole cerebral angiography
经皮桡动脉穿刺行全脑血管造影术的效果及预后分析

摘要

目的 经皮下桡动脉穿刺行全脑血管造影术的效果及预后分析。方法 本次研究选择了我院在2021年1月－2022年1月期间经皮下桡动脉穿刺做全脑动脉造影术的患者150例，观察并分析患者手术的效果及预后。结果 2021年1月至2022年1月期间在我院诊治的患脑血管疾病且需要做造影的150例患者中有148例经皮下桡动脉穿刺成功并行全脑血管造影术(成功率为98.67%），得出患者的造影结果图像，且在术后进行预后观察。此术对诊断脑血管疾病和定位病变发生部位起了很大的作用，可以通过造影准确定位判断并治疗病变血管，术后产生血管出血或血肿等并发症也较少；由于手术创口相对较小，患者术后预后也很好，因此得出经皮桡动脉穿刺行全脑血管造影术对我院收治的150例脑血管疾病的患者是高效可行且安全的。结论 在临床上，需要对患有脑血管疾病的患者做出明确诊断并且准确定位病变部位时，可以考虑首选经皮下桡动脉穿刺行全脑血管造影术来辅助诊断，经过我院分析出来的结果表明此术相比其他方式可以高效确诊，预后好，术后产生的并发症少，在更短的时间内使患者有更高的生活质量。综上所述，经皮桡动脉穿刺行全脑血管造影术在临床上极具推广应用价值。

Abstract

Objective To analyze the effect and prognosis of whole brain angiography with percutaneous radial artery puncture.
Methods: This study selected 150 patients who underwent subcutaneous radial artery puncture for whole cerebral arteriography in our hospital from January 2021 to January 2022, and observed and analyzed the surgical effect and prognosis of the patients.
Results: From January 2021 to January 2022, 148 of the 150 patients with cerebrovascular disease who needed angiography who were diagnosed and treated in our hospital underwent subcutaneous radial artery puncture successfully and underwent whole brain angiography (success rate was 98.67 %), the angiographic result images of the patients were obtained, and the postoperative prognosis was observed. This operation plays a great role in diagnosing cerebrovascular diseases and locating the location of the lesions. It can accurately locate and treat the diseased blood vessels through angiography, and there are fewer complications such as vascular hemorrhage or hematoma after surgery; the surgical wound is relatively small. , the postoperative prognosis of the patients is also very good, so it is concluded that percutaneous radial artery puncture for cerebral angiography is efficient, feasible and safe for 150 patients with cerebrovascular disease treated in our hospital.
Conclusion  : Clinically, when it is necessary to make a definite diagnosis of patients with cerebrovascular disease and accurately locate the lesion site, percutaneous radial artery puncture and whole brain angiography can be considered as the first choice to assist the diagnosis. The results show that compared with other methods, this operation can be efficiently diagnosed, with a good prognosis, less postoperative complications, and a higher quality of life for patients in a shorter period of time. In conclusion, percutaneous radial artery puncture for whole cerebral angiography has great clinical application value.