Application of J-type guidewire into radial artery sheath by J-bend in coronary angiography
Objective:To investigate the effect of J-type guidewire into the sheath by J-bend in coronary angiography via the right radial artery.Methods:594 patients who underwent coronary angiography via the right radial artery in our hospital from September 2020 to May 2022 were selected as the research objects.They were divided into J-type guidewire shaping group(199 cases),J-type guidewire group(197 cases)and A-bend guidewire group(198 cases).In the J-type guidewire shaping group,the distal end of the J-type guidewire was kept in the J-bend shape when entering the radial artery sheath,while the other two groups of guidewires were entered into the sheath by conventional operation.The operation time,X-ray exposure time,the number of cases of peripheral arterial bleeding,and the number of cases of wire replacement were recorded in the three groups from the insertion of the guidewire into the sheath to the arrival of the aortic valve.Results:The incidence of peripheral arterial bleeding in the J-type guidewire shaping group was lower than that in the other two groups(P＜0.05),and the guidewire operation time and X-ray exposure time were shorter than those in the other two groups(P＜0.05).The guidewire replacement rate of the J-type guidewire shaping group was lower than that of the J-type guidewire group(P＜0.05).Conclusion:When entering the radial artery sheath,keeping the distal J-type guidewire in J-bend shape for coronary angiography can not only reduce the incidence of peripheral arterial bleeding,but also reduce the guidewire replacement rate,shorten the operation time and the X-ray exposure time of doctors and patients.
万方数据
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