经桡动脉途径介入术后的桡动脉作为桥血管用于冠状动脉搭桥术可行性分析  

Feasibility analysis of radial artery as bridging vessel for coronary artery bypass grafting after transradial artery intervention

作　　者：任培军 程兆云 高传玉 葛振伟 王圣 赵健 王保才 孙俊杰 周胜凯 胡俊龙 轩继中 REN Pei-Jun;CHENG Zhao-Yun;GAO Chuan-Yu;GE Zhen-Wei;WANG Sheng;ZHAO Jian;WANG Bao-Cai;SUN Jun-Jie;ZHOU Sheng-Kai;HU Jun-Long;XUAN Ji-Zhong(Department of Cardiovascular Surgery;Department of Cardiology, People＇s Hospital of Zhengzhou University ＆ Fu Wai Central China Cardiovasular Hospital ＆ Henan Provincial People＇s Hospital, Zhengzhou, Henan 450003, China)

机构地区：[1]郑州大学人民医院 阜外华中心血管病医院河南省人民医院心血管外科,河南省郑州市450003 [2]郑州大学人民医院 阜外华中心血管病医院河南省人民医院心血管内科,河南省郑州市450003

出　　处：《中国动脉硬化杂志》2018年第1期69-72,共4页Chinese Journal of Arteriosclerosis

基　　金：国家临床重点专科建设项目经费资助(2011);河南省科技发展计划项目(132102310190)

摘　　要：目的 评估经桡动脉途径介入术后的桡动脉作为桥血管应用于冠状动脉搭桥术（CABG）的可行性。 方法 回顾性分析168例应用桡动脉作为桥血管行CABG术患者的临床资料。根据使用是否经桡动脉途径介入术后的桡动脉作为桥血管,将168例患者分为介入组（76例）、非介入组（92例）,比较两组患者的随访结果。 结果两组患者临床资料比较无统计学差异（P＞0.05）。与介入组比较,非介入组桡动脉桥血管通畅率显著增高,心肌缺血事件发生率显著降低,差异有统计学意义（P＜0.05）。两组术侧前臂切口感染、拇指麻木、骨筋膜室综合征等桡动脉获取相关并发症发生率无显著差异（P＞0.05）。 结论 选择非经桡动脉途径介入术后的桡动脉作为桥血管可提高桥血管通畅率并改善CABG术的临床效果。Aim To evaluate the feasibility of using radial artery as a bridging vessel for coronary artery bypass grafting （CABG） after transradial artery intervention. Methods The clinical data of 168 patients with the use of radial artery as a bridging vessel for CABG were reviewed retrospectively. According to whether or not using radial artery as bridging vessel after transradial artery intervention, 168 patients were divided into intervention group （76 cases） and non-intervention group （92 cases）. The follow-up results were compared between the two groups. Results There was no statistical difference in the clinical data between the two groups （P〉0.05）. Compared with the intervention group, the vascular patency rate of radial artery bridge was significantly increased and the incidence of myocardial ischemia was significantly reduced in the non-intervention group; The differences were statistically significant between the two groups （P〈0.05）. There was no significant difference in the incidence of related complications of radial artery acquired in the two groups, such as operative side forearm incision infection, thumb numbness, osteofascial compartment syndrome, and so on （P〉0.05）. Conclusion It is possible to improve the patency of bridging vessel and improve the clinical effect of CABG by selecting the radial artery as a bridging vessel without transradial artery intervention.

关 键 词：经桡动脉途径介入术 桡动脉 冠状动脉搭桥术 通畅率 桥血管 

分 类 号：R654[医药卫生—外科学]