经桡动脉和股动脉途径行冠状动脉介入治疗932例临床对比分析  

Transradial coronary and femoral artery interventional therapy:analysis of 932 cases

作　　者：丁翔[1] 王志权[1] 朱启明[1] 马志强[1] 王荣[1] 刘力[1] 余秋实[1] 

机构地区：[1]解放军第161中心医院心内科,武汉400010

出　　处：《临床心血管病杂志》2015年第7期742-745,共4页Journal of Clinical Cardiology

摘　　要：目的:探讨经桡动脉途径行冠状动脉介入治疗的安全性及可行性。方法:选取行冠状动脉造影和经皮冠状动脉成形术或支架植入术的患者932例,其中494例经桡动脉途径,438例经股动途径,比较两组的穿刺成功率、手术成功率、穿刺部位止血包扎时间、肢体制动时间及并发症。结果:两组手术成功率差异无统计学意义(96.6%︰97.1%);经桡动脉组穿刺成功率略低于经股动脉组(P<0.05);经桡动脉组在鞘管置入时间上长于股动脉组,而止血包扎时间和肢体制动时间则明显短于股动脉组(P<0.05)。经桡动脉组穿刺部位血肿、假性动脉瘤、血管迷走神经反射、术后尿潴留发生率明显低于股动脉组(P<0.05),而动脉痉挛发生率明显高于股动脉组(P<0.05)。结论:经桡动脉途径行冠状动脉介入治疗是安全、有效、可行的,值得临床推广应用。Objective：To investigate the safety and feasibility of transradial coronary intervention.Method：A total of 932 cases underwent coronary angiography and percutaneous transluminal coronary angioplasty or stenting were included,in which 494 cases of transradial and 438 cases of femoral route,the success rate of puncture,the success rate of surgery,the time of hemostasis and dressing for puncture site,the time of limb braking and complications were compared between the two groups.Result：The success rate of surgery was not statistically significant（96.6%︰97.1%）.The success rate of puncture in transradial coronary group was slightly lower than that in femoral artery group（P〈0.05）.Cpmpared with femoral artery group,the sheath implantation time in transradial coronary group was longer,the time of hemostasis and dressing for puncture site and the time of limb braking were significantly shorter,the incidences of puncture site hematoma,pseudoaneurysm,vasovagal reflex,postoperative urinary retention were lower,while the incidence of arterial spasm was higher（all P〈0.05）.Conclusion：The transradial coronary intervention is safe,effective,feasible and worthy of clinical application.

关 键 词：桡动脉 经桡动脉途径 股动脉 经股动脉途径 冠状动脉疾病 经皮冠状动脉介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病]