高龄冠心病患者经桡动脉途径介入治疗临床特点分析  

Clinical characteristics of elderly patients with coronary heart disease after transradial intervention

作　　者：裘毅钢[1] 李田昌[1] 陈宇[1] 李贤峰[1] 曹毅[1] 王志国[1] 李东韬[1] 王兆君[1] 

机构地区：[1]海军总医院心脏中心,北京100048

出　　处：《中国循证心血管医学杂志》2013年第3期252-254,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的评价75岁以上高龄冠心病患者经桡动脉途径介入治疗的可行性及安全性。方法纳入2010年11月～2012年6月在海军总医院心脏中心住院并接受冠脉介入治疗的年龄≥75岁的冠心病患者244例,记录和分析介入相关资料、住院期间和出院后随访6个月主要临床事件(全因死亡、心绞痛发作、再发心梗、靶血管重建、出血事件)等。结果 244例老年患者中,共有237例实施了桡动脉路径介入治疗。介入成功率为99.2%,介入相关并发症4例(1.6%),3例为血肿并发症,1例为桡动脉闭塞;住院期间共发生主要临床事件4例(1.6%),2例死亡,2例消化道大出血;随访6个月主要临床事件发生率增加,共发生26例(9.8%),其中死亡1例,心绞痛23例,心肌梗死1例,消化道大出血2例。结论 75岁以上老年冠心病患者经桡动脉途径接受冠脉介入治疗安全可行。Objective To review the feasibility and safety of transradial percutaneous coronary intervention （PCI） in elderly patients （over 75 years old） with coronary heart disease （CHD）. Methods CHD patients （equaling to or over 75 years old, n=244） hospitalized in Center of Cardiology of Chinese PLA Navy General Hospital and accepted transradial PCI were chosen from Nov. 2010 to Jun. 2012. The relevant data, and major adverse cardiovascular events （MACE） were recorded and analyzed during hospitalization and follow-up after 6 months. Results Among 244 patients, 74 had acute ST-segment elevation myocardial infarction （STEMI）, 12, acute non- STEMI, 152, unstable angina pectoris （AP）, and 6, stable AP. The average age of the patients was （79.3 ＋ 3.8） years old. The success rate of transradial PCI was 99.2%, and incidence of relative complications was 1.6%. The incidence of MACE was 1.6% during hospitalization and 9.8% during follow-up after 6 months. Conclusion Transradial PCI is safe and feasible in elderly patients with CHD aged over 75.

关 键 词：冠心病 老年 经皮冠状动脉介入治疗 桡动脉 

分 类 号：R541.4[医药卫生—心血管疾病]