经桡动脉介入治疗慢性完全闭塞病变的临床观察  

Clinical observation of transradial coronary intervention in patients with chronic total occlusion

作　　者：马荣国[1] 邱春光[1] 韩战营[1] 卢文杰[1] 董淑娟[1] 

机构地区：[1]郑州大学第一附属医院心内科,郑州450052

出　　处：《中原医刊》2008年第6期1-3,共3页Central Plains Medical Journal

摘　　要：目的 回顾性分析慢性完全闭塞（CTO）冠状动脉病变经桡动脉经皮冠状动脉介入（PCI）治疗的成功率和疗效。方法 对我院2005年10月至2007年10月实施经桡动脉PCI治疗的82例CTO患者的资料进行回顾性分析。结果经桡动脉PCI病例成功率为87.8％（72／82），病变成功率为81．9％（77／94）。2例病人发生桡动脉严重痉挛改由股动脉途径。操作失败17处，其中94．1％因导丝不能通过病变，5．9％因球囊不能跨越病变。术中无死亡病例，术中心包填塞1例（1.2％）；术后出院前桡动脉再通率92％。PCI成功患者住院期间心绞痛症状缓解率为88．9％。结论选择合适的病例，经桡动脉PCI治疗CTO病变可获得较高的成功率和较好的临床效果。Objective To assess the success rate and outcomes of transradial percutaneous coronary intervention treatment for patients with chronic total occlusion （CTO）. Methods The data of 82 patients with CTO who underwent transradial percut aneous coronary intervention （PCI） between October 2005 and October 2007 were analyzed retrospectively. Results Total success rate of patients and lesions were 87.8% （72/82） and 81.9% （77/94）,respectively. There were 2 patients to change to transradial approach because of severe radial artery spasm. Operative failure were occurred in 17 lesions. Guide wire and balloon failed to pass through the occlusion accounted for 94.1% and 5.9% , respectively. No death was occurred during procedure, 1 case suffered from pericardium tamponade. After procedure, the anginafree survival rate for undergoing successful PCI was 88.9% at discharge, the reopening rate of radial artery was 92% in hospital. Conclusion It is possible to obtain a higher success rate of transradial PCI and ideal outcomes in appropriate patients with CTO lesions.

关 键 词：经桡动脉 慢性完全闭塞 经皮冠状动脉血管成形术 

分 类 号：R542.22[医药卫生—心血管疾病] R654.2[医药卫生—内科学]