经不同途径行CAG及PCI的对比剂用量和手术时间的对比分析  

Comparison of contrast dosages and operation times in patients undergoing coronary artery angiography and percutaneous coronary intervention with transradial and transfemoral artery approach

作　　者：白启才[1] 崔丽萍[2] 孙金勇[3] 李珍珍[1] 董学庆[1] 郭凯[1] 

机构地区：[1]解放军总医院心内科,北京100853 [2]解放军总医院南楼心血管一科,北京100853 [3]北京军区总医院ICU,北京100700

出　　处：《中华保健医学杂志》2009年第6期440-441,共2页Chinese Journal of Health Care and Medicine

摘　　要：目的比较经桡动脉和股动脉途径行冠状动脉造影(coronary artery angiography,CAG)及经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)所用的对比剂用量和手术时间。方法同期525例行CAG和PCI治疗的患者,经股动脉途径325例,经桡动脉途径200例,分为3组:仅行CAG组(A组)、简单单支病变PCI组(B组)和二支、三支、复杂或慢性闭塞病变PCI组(C组),比较经股动脉和经桡动脉途径各组所用对比剂用量和手术时间。结果经股动脉途径A、B、C组患者所用对比剂用量与经桡动脉途径各组相比无统计学差异(85.1±41.5mlvs86.6±36.6ml,P=0.822;175.8±57.5mlvs160.0±48.5ml,P=0.764;228.2±70.5mlvs222.8±55.9ml,P=0.816),经桡动脉途径A、B、C组手术时间明显长于经股动脉途径各组(21.5±17.6minvs10.5±8.6min,P=0.000;41.5±34.4minvs29.0±16.8min,P=0.000;64.4±18.1minvs46.7±15.5min,P=0.007)。结论经股动脉和经桡动脉途径行CAG和PCI时所用对比剂用量相似,但经桡动脉途径行手术时间长于经股动脉途径。Objective To compare contrast dosage and operation time in patients undergoing coronary artery angiography and percutaneous coronary intervention with transradial and transfemoral artery approach. Methods Five hundred twenty-five patients undergone coronary artery angiography and percutaneous coronary intervention with transradial and transfemoral artery approach, 325 patients with transfemoral artery approach, 200 patients with transradial artery approach. All patients were divided into three groups, A group patients were undergone coronary artery angiography only, B group patients were those patients with simple 1- vessel lesion were undergone PCI, C group patients were those patients with 2-, 3-vessel lesions ,complicated lesions or CTO lesions were undergone PCI. We compared contrast dosage and operation time in three groups with transradial and transfemoral artery approach. Results Contrast dosage in A, B and C group with transfemoral artery approaeh ,were similar with transradial artery approach（85.1±41.5 ml vesusus 86.6±36.6 ml,P=0.822;175.8±57.5 ml versus 160.0±48.5 ml,P=0.764;228.2±70.5 ml versus 222.8±55.9 ml,P=0.816）. Operation time in A,B and C group with transradial artery approach were signifieantly longer than with transfemoral artery approach（21.5±17.6 rain versus 10.5±8.6 min,P=0.000;41.5±34.4 rain versus 29.0±16.8 min,P=0.000;64.4±18.1 min versus 46.7±15.5 min,P=0.007）. Conclusions Contrast dosage in patients undergoing coronary artery angiography and pereutaneous coronary intervention with transfemoral artery approach were similar to that with transradial artery approach, operation time in patients undergoing coronary artery angiography and percutaneous coronary intervention with transradial artery approach were longer than that with transfemoral artery approach.

关 键 词：冠状动脉造影 桡动脉 股动脉 介入治疗 对比剂用量 手术时间 

分 类 号：R816.2[医药卫生—放射医学]