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|本期目录/Table of Contents|

经桡动脉介入治疗高龄冠心病患者的可行性

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2010年第3期
页码:
401-402,405
栏目:
临床研究
出版日期:
2010-04-06

文章信息/Info

Title:
Feasibility of transradial approach of coronary intervention for elderly patients with coronary heart diseases
作者:
孙家安; 汝磊生; 李俊峡; 齐书英; 彭育红
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;  LI Jun-xia;  QI Shu-ying;  PENG Yu-hong
Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang 050082, Hebei, China
关键词:
冠状动脉疾病; 老年; 桡动脉; 冠状动脉介入治疗; 经皮
Keywords:
coronary disease;  elderly;  radial artery;  coronary intervention;  percutaneous
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的: 评价高龄冠心病患者经桡动脉穿刺介入治疗的安全性及可行性。方法: 380例70岁以上的老年冠心病行介入治疗患者按动脉穿刺途径随机分成桡动脉组(n=190)和股动脉组(n=190),观察两组间动脉穿刺成功率、手术操作时间、造影剂用量、局部及全身并发症发生情况。结果: 经桡动脉穿刺途径成功共182例,经股动脉穿刺途径成功共188例。两组间动脉穿刺成功率、介入手术时间、造影剂用量差异无显著性。局部出血并发症迷走反射桡动脉组明显少于股动脉组(P<0.05)。结论: 高龄冠心病患者经桡动脉途径穿刺行介入治疗方法可行、治疗有效,较股动脉并发症发生少，是高龄冠心病患者介入治疗可选择的穿刺途径。
Abstract:
AIM: To evaluate the safety and effect of transradial approach for coronary intervention (TRI) in elderly patients with coronary heart disease (CHD). METHODS: Three hundred and eighty elderly CHD patients (>70 years old) treated with coronary intervention in Bethune International Peace Hospital from January 2005 to July 2008 were divided into transradial group (TRI, n=190) and transfemoral group (TF, n=190). The success rate, duration of procedure, dose of dye, local puncture site and systemic complications of the two groups were observed. RESULTS: No significant difference was found in the success rate of puncture, procedure duration and dose of dye between groups (182/190 in TRI group vs. 188/190 in TFI group). However, complications at local puncture site and vagus reflex were higher in TFI group than in the TRI group. CONCLUSION: TRI approach of coronary intervention is safe and effective in elderly patients.

参考文献/References

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[6] Yoo BS, Yoon J, KO JY, et al. Anatomical consideration of the adial artery for transradial coronary p rocedures: arterial diameter, branching anomaly and vessel tortuousity［J］. Int J Cardiol, 2005, 101(3):421-427.

[7]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 Cardiol, 1998, 32(3):572-576.

［8］Kiemeneij F, Laarman GJ, Odekerken D, et al. A randomized comparison of percutaneous transluminal angioplasty by the radial brachial and femoral approaches: the assess study［J］. J Am Coll Cardiol, 1997, 29(6):1269-1275.

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，主要从事冠心病介入治疗的研究Email:rls9377@hotmail.com 作者简介：孙家安，主治医师，博士 Emai：sunjiaan@sohu.com
更新日期/Last Update: 2010-04-09