不同入路冠状动脉介入治疗术围手术期周围血管并发症发生率的对比  

Comparison of peripheral vascular complication rates during percutaneous coronary intervention through different approaches

作　　者：张树清[1] 崔磊[2] 祁荣兴[2] SANJEEV KUMAR P S 黄胜[2] 葛莉[4] 钱澄 ZHANG Shu qing;CUI Lei;QI Rong xing;SANJEEV KUMAR P S;HUANG Sheng;GE Li;QIAN Cheng(Cardiac Catheterization Laboratory, the Second Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu, China;Department of Radiology, the Second Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu, China;Medical Imaging Service of PAREXEL International Corporation, Waltham, MA 02451, USA;Library of the Second Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu, China)

机构地区：[1]南通大学第二附属医院心导管室,南通226001 [2]南通大学第二附属医院影像科,南通226001 [3]PAREXEL国际公司医学影像科,Waltham02451 [4]南通大学第二附属医院图书馆,南通226001

出　　处：《中国临床医学》2017年第5期789-792,共4页Chinese Journal of Clinical Medicine

基　　金：南通市社会事业科技创新与示范计划(HS2014066)~~

摘　　要：目的:比较经股动脉和桡动脉入路冠状动脉介入治疗(percutaneous coronary intervention,PCI)术中周围血管并发症的发生率,为其临床诊治提供参考。方法:分析2014年7月至2016年12月在我院心血管介入治疗中心进行冠状动脉造影及介入治疗的780例患者的临床资料,比较周围血管并发症发生情况。结果:经股动脉途径471例,经桡动脉途径309例。经股动脉途径总体并发症发生率13.2%,高于经桡动脉途径的4.5%,差异有统计学意义(P<0.001)。经股动脉途径出血并发症发生率为7.9%,高于经桡动脉途径2.6%,差异有统计学意义(P=0.002)。经股动脉途径患者重大并发症(后腹膜血肿、假性动脉瘤、动静脉瘘、动脉夹层形成)发生率高于经桡动脉途径(2.1%vs 0%),但差异无统计学意义。结论:经股动脉途径冠状动脉介入治疗术围手术期周围血管并发症发生率高于经桡动脉途径,临床入路选择时需综合考虑。Objective:To compare the incidence of peripheral vascular complications during percutaneous coronary intervention(PCI)through femoral artery and radial artery,and to provide reference for clinical diagnosis and treatment.Methods:The clinical data of780patients who underwent coronary angiography and interventional therapy in Cardiovascular Center of Nantong First People’s Hospital from July2014to December2016were analyzed,and the incidence of peripheral vascular complications was compared.Results:There were471cases through femoral artery and309through radial artery.The overall complication rate of femoral artery approach was13.2%,which was higher than that of radial artery approach(4.5%),and the difference was statistically significant(P<0.001).The bleeding rate of femoral artery approach was7.9%,which was higher than that of radial artery approach(2.6%),and the difference was statistically significant(P=0.002).The incidence of major complications(retroperitoneal hematoma,pseudoaneurysm,arteriovenous fistula,and artery dissection)of femoral artery approach was higher than those of radial artery approach(2.1%vs0%),but the difference was not statistically significant.Conclusions:The incidence of peripheral vascular complications during PCI of femoral artery approach is higher than those of radial artery approach,and the approach should be considered comprehensively in clinical practice.

关 键 词：经皮冠状动脉介入治疗 并发症 手术人路 

分 类 号：R815[医药卫生—放射医学]