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目的探讨经桡动脉途径急诊经皮冠脉介入治疗(PCI)的安全性及可行性。方法回顾性分析皖北煤电集团总医院2006年11月-2009年6月对76例急性心肌梗死患者采用经桡动脉途径行急诊PCI治疗的临床资料。观察造影成功率、入院-球囊扩张时间、梗塞相关动脉的开通率、血流情况、术中并发症,住院期间主要心血管事件。结果经桡动脉造影成功率为100%;入院-球囊扩张时间(55±18)min;梗塞相关动脉的开通率为97.4%;血流情况:TIMI3级93.4%;皮下瘀斑的发生率为3.8%;前臂血肿的发生率为2.9%;桡动脉闭塞的发生率为1.0%;平均术后住院天数(5.9±1.4)d;2例出现围手术期死亡。结论经桡动脉途径直接PCI治疗急性心肌梗死安全有效,在有条件的医院可首选经桡动脉途径PCI作为急性心肌梗死(AMI)治疗的方法。
Objective To investigate the safety and feasibility of transcutaneous radial approach for percutaneous coronary intervention (PCI). Methods The clinical data of 76 patients with acute myocardial infarction who underwent radial PCI via radial artery were retrospectively analyzed from November 2006 to June 2009 in Wanbei Coal and Methane Group General Hospital. Observe the success rate of imaging, admission - balloon dilation time, infarction-related artery opening rate, blood flow, intraoperative complications, major cardiovascular events during hospitalization. Results The success rate of transradial arterial angiography was 100%; admission-balloon dilatation time was 55 ± 18 min; the opening rate of infarction-related artery was 97.4%; the blood flow was TIMI3 grade 93.4%; the incidence of ecchymosis was 3.8%. The incidence of forearm hematoma was 2.9%. The incidence of radial artery occlusion was 1.0%. The average postoperative hospital stay was 5.9 ± 1.4 days. Perioperative deaths occurred in 2 cases. Conclusions Transradial PCI is a safe and effective method for the treatment of acute myocardial infarction. It is the first choice of transradial PCI in the qualified hospitals as a treatment for acute myocardial infarction (AMI).