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|本期目录/Table of Contents|

经皮肱动脉穿刺行冠状动脉介入治疗可行性分析

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2010年第2期
页码:
203-204,211
栏目:
临床研究
出版日期:
2010-03-04

文章信息/Info

Title:
Evaluation of feasibility of transbrachial percutaneous coronary artery intervention
作者:
孙家安; 汝磊生; 彭育红; 徐若华
解放军白求恩国际和平医院心内科，河北 石家庄 050082
Author(s):
SUN Jia-an;  RU Lei-sheng;  PENG Yu-hong;  XU Ruo-hua
Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang 050082, Hebei, China
关键词:
冠状动脉介入治疗; 经皮; 肱动脉
Keywords:
coronary artery intervention;  percutaneous;  brachial artery
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的: 探讨经皮肱动脉穿刺行冠状动脉介入治疗(PCI)的可行性及安全性。方法: 40例经桡动脉穿刺失败患者改行经肱动脉穿刺行介入治疗（TBI）。随机选择同期经桡动脉介入治疗（TRI）病例40例作为对照组。经TBI的器材选择及操作手法基本同TRI。结果: 40例TBI疗全部成功，两组手术时间，造影剂用量，置入支架数，血管及全身并发症及近期术后疗效均无统计学差异。结论: 经肱动脉冠状动脉介入治疗安全可行，临床可推广应用。
Abstract:
AIM: To evaluate the feasibility and safety of transbrachial percutaneous coronary artery intervention (PCI). METHODS: Forty cases with failed transradial PCI were selected and changed to transbrachial PCI (TBI) and 40 cases with successful transradial PCI (TRI) at the same period were selected as control group. Catheter selection and maneuver skill of TBI were the same as those of TRI. RESULTS: All 40 cases of TBI were successful. No statistical difference in operation time, contrast dose, stent number, local and system complication and short-term result was found between groups. CONCLUSION: Transbrachial PCI is a feasible and safe procedure that can be widely used clinically.

参考文献/References

［1］ Campeau I. Percutaneous radial artery approach for coronary angiography［J］. Cathet Cardiovasc Diagn, 1989, 16(1)：3-7.

［2］ Kiemneij F, Laarmann G. Percutaneous transradial artery approach for coronary Palmaz-Schatz stent implantation［J］. Am Heart J, 1994, 128(1):167-174.

［3］ Kamiya H, Ohsugi S, Ohno M, et al. Coronary angiography by means of thepercutaneous transbrachial approach?［J］. Radiology,1991, 179（3）:863-866.

［4］ Mann T, Cubeddu G, Bowen J, et al. Stenting in acute coronary syndromes: a comparison of radial versus femoral access site［J］. J Am Coll Cardial, 1998, 32（3）:572-576.

［5］ 卢才义. 临床心血管介人操作技术［M］. 北京: 科学出版社， 2002:113-114.

［6］ Stella PR, Kiemeneij F, Laarman GJ, et al. Incidence and outcome of radial artery occlusion following trans-radial arterty coronary angioplasty［J］. Cathet Cardiovasc Diagn, 1997, 40(2)：156-158.

备注/Memo

备注/Memo:
收稿日期：2008-12-23.通讯作者：汝磊生，副主任医师，博士，主要从事冠心病介入治疗研究Email:rls9377@hotmail.com 作者简介：孙家安，主治医师，博士Email：sunjiaan@sohu.com
更新日期/Last Update: 2010-03-05