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目的:评价经桡动脉途径行急性冠脉综合征冠状动脉介入治疗(PCI)的疗效及并发症。方法:从2005年5月至2008年12月共对221例急性冠脉综合征患者行PCI治疗,其中经桡动脉途径112例,经股动脉途径109例。结果:两种冠脉介入途径患者临床及冠状动脉造影特征具有可比性。血管穿刺时间桡动脉组为(4.5±3.4)m in,股动脉组为(3.8±3.6)m in(P>0.05)。导管室支架置入时间桡动脉组为(41±20.7)m in,股动脉组为(38±19)m in(P>0.05)。冠脉介入治疗成功率桡动脉组为94.3%,股动脉组为95.1%。桡动脉组有1例桡动脉闭塞,1例肱动脉损伤渗血前臂肿胀,无其他严重局部并发症发生,股动脉组有2例假性动脉瘤形成,应用不同方法治愈,11例有出血并发症,其中2例有严重出血并发症。桡动脉组住院时间显著短于股动脉组(P<0.01)。结论:桡动脉途径可以作为急性冠脉综合征PCI治疗的优选途径。
Objective: To evaluate the efficacy and complications of transradial approach to coronary artery disease (PCI) in patients with acute coronary syndrome. Methods: From May 2005 to December 2008 a total of 221 patients with acute coronary syndrome were treated with PCI, of which 112 cases were transradial and 109 cases were via femoral artery. RESULTS: Clinical and coronary angiographic characteristics were comparable in patients undergoing two coronary interventions. The time of vascular puncture was (4.5 ± 3.4) m in radial artery group and (3.8 ± 3.6) m in femoral artery group (P> 0.05). The diameter of radial artery was (41 ± 20.7) min in catheterization group and (38 ± 19) min in femoral artery group (P> 0.05). The success rate of coronary intervention was 94.3% in the radial artery group and 95.1% in the femoral artery group. Radial artery occlusion of radial artery in 1 case, brachial artery in 1 case of bleeding forearm swelling, no other serious local complications, femoral artery group 2 cases of pseudoaneurysm formation, the use of different methods to cure, 11 cases of bleeding complications , Two of which had severe bleeding complications. Radial artery hospitalization was significantly shorter than the femoral artery group (P <0.01). Conclusion: The radial artery approach can be used as a preferred approach for the treatment of acute coronary syndromes.