经桡动脉冠状动脉腔内支架术治疗冠状动脉复杂病变(PDF)
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2005年第1期
- 页码:
- 42-45
- 栏目:
- 临床研究
- 出版日期:
- 2005-01-05
文章信息/Info
- Title:
- Transradial approach for coronary stent in patients with complex artery pathological changes
- Author(s):
- GUAN Yingmin; L Anlin; WANG Haichang; ZHANG Qing
- Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China
- 关键词:
- 冠状动脉疾病; 桡动脉; 经皮冠状动脉介入治疗; 冠状动脉复杂病变; 支架
- Keywords:
- coronary disease; radial artery; percutaneous coronary intervention; complex coronary artery pathological changes; stent
- 分类号:
- R541.4
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的 比较经桡动脉与股动脉途径经皮冠状动脉介入治疗冠状动脉复杂病变时间、治疗成功率和并发症。方法 回顾性对照分析近8个月来100例冠状动脉复杂病变介入治疗经桡动脉（A组50例），股动脉（B组50例）成功率及并发症。结果 两组患者手术成功率相似（94％ vs 90％，P>0.05）；经皮冠状动脉介入治疗总时间两组间差异无显著性（62±14与62±10 min,P>0.05）。但A组术后并发症显著低于B组。结论 经桡动脉途径与股动脉途径介入治疗冠状动脉复杂病变成功率相似，但前者术后并发症少。
- Abstract:
- AIM To compare the time and the successful rates of transradial artery (TRA) percutaneous coronary intervention (PCI) with transfemoral artery (TFA) access in patients with complex artery pathological changes. METHODS The 100 patients with complex pathological changes of coronary artery undergoing angioplasty were prospectively randomly into transradial artery access for primary PCI group (Group A,n=50）and transfemoral artery access for primary PCI group (Group B,n=50) coming close 8 monthes .The protocols of the manipulation duration and the effect as well the incidence of complications such as bleeding,vessel injury,thrombi and embolism of TRAPCI and TFAPCI procedures were compared respectively. RESULTS The successful rates were similar in TRAPCI and TFAPCI groups (94% vs 90%,P=0.71).There were no significant difference in the total time of PCI between the two groups (61±14 vs 62±10 min,P=0.79).The access artery complications in TFIPCI group were much more than in TRAPCI grous. CONCLUSION The duration and effect by TRAPCI were similar to those by TFAPCI in patients with Complex coronary artery pathological changes .The complications by TRAPCI were few， with benefit for the safety and efficicency of anticoagulation TRAPCI might be selected as a access vessel for PCI in patients with Complex coronary artery pathological changes.
参考文献/References
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备注/Memo
- 备注/Memo:
- 收稿日期：2004-10-22.
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