经皮桡动脉途径治疗冠心病复杂病变初步临床应用研究  

Primary Clinical Research of Percutaneous Coronary Intervention through Transradial Approach in Selective Patients with Coronary Artery Complex Lesions

作　　者：秦绪光[1] 龚成杰[1] 李莉娜[1] 熊为国[1] 逯春鹏[1] 

机构地区：[1]清华大学第一附院心内科,北京100016

出　　处：《中国医药导刊》2010年第8期1288-1289,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨经皮桡动脉途径治疗冠心病复杂病变的可行性与安全性。方法:选择有冠心病稳定型心绞痛患者300例分为经桡动脉途径介入治疗组(n=150例,其中男96例,女54例);股动脉途径介入治疗组(n=150例,其中男100例,女50例)。分别记录PCI时间,PCI成功率,住院时间及与穿刺血管相关并发症的发生率。结果:150例患者桡动脉均穿刺成功,PCI时间为(48±3.6)分钟,PCI成功率为98.7%,住院时间为(3.2±1.6)天;股动脉组PCI时间为(45±10.2)分钟,PCI成功率为99.9%,住院时间为(5.4±1.8)天。两组相比较,PCI时时间、PCI成功率差异无统计学意义(P>0.05);桡动脉组住院时间明显缩短(P<0.05),与穿刺血管相关并发症的发生率也明显减少(P<0.001)。结论:经桡动脉途径行冠心病复杂病变PCI是一种安全、有效的介入途径。Objeetive： To assess the clinical feasibility and safety of percutaneous coronary intervention through trans-radiat approach in patients with coronary complex lesions. Methods：We retrospectively analyzed data from our single center registry on 300 patients with stable angina pectoris and underwent pereutaneous coronary intervention（PCI）. All the patients were respectively divided into trans-radial group （n=150） and trans-femoral group （n=150）. We recorded the PCI time, the success rate of PCI, in-hospital times, and the complication rate related to puncture vessels. Results： 150 radial arteries were punctured successfully. There were no significant differences in PCI time [（48±3.6） min vs. （45±10.2） mini and the success rates of PCI [98.7% （148/150） vs. 99.9% （149/150）] between the two groups respectively （P〉0.05）. There were significant differences in-hospital times [（3.2±1.6） d vs. （5.4±1.8） d] between the two groups （P〈0.05）. The access artery complications （3.3%） in TRA-PCI group were much lower than （8.0%） in TFA-PCI group（P〈0.001）. Couelusions：Trans-radial approach might be selected as one approach for PCI in patients with complex lesions. It is safe and effective approach for coronary intervention in selected patients.

关 键 词：桡动脉 冠心病 复杂病变 介入 PCI 

分 类 号：R541.4[医药卫生—心血管疾病]