STEMI患者使用Tig导管与Judkin’s导管经右桡动脉行急诊冠状动脉造影的对比研究  

Comparison of Tig Catheters with Judkin’s Catheters for Emergency Coronary Angiography in Patients with STEMI

作　　者：曾芳 李彪 赵强 ZENG Fang;LI Biao;ZHAO Qiang(Department of Cardiology,Guangzhou Red Cross Hospital,Guangzhou,510220;Department of Cardiology,The Affiliated Shunde Hospital of Guangzhou Medical University,Foshan)

机构地区：[1]广东省广州市红十字会医院心内科,510220 [2]广州医科大学附属顺德医院心内科

出　　处：《岭南急诊医学杂志》2021年第1期18-20,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:比较STEMI患者用Tig造影导管与Judkin’s造影导管经右桡动脉急诊行CAG的有效性及安全性。方法:2019年1月至2020年9月使用Tig导管或Judkin’s导管经右桡动脉急诊行CAG的STEMI患者79例,Tig组(T组,n=55)首选Tig造影导管,Judkin’s组(J组,n=24)首选Judkin’s造影导管。比较两组CAG成功率、X线透视时间、辐射剂量、D to B时间及冠脉并发症发生率。结果:T组在冠脉并发症(0%vs 0%,P=1.000)、造影成功率(94.5%vs 83.3%,P=0.191)方面与J组无明显差异;T组的X线透视时间[(117.81±48.33)s vs(212.10±65.42)s,P=0.002]、辐射剂量[(181.77±67.74)mGy vs(283.10±76.69)mGy,P=0.002]明显优于J组,P<0.05;T组的桡动脉痉挛发生率低于J组(1.8%vs 12.5%,P=0.081),D-to-B时间短于J组[(73.37±21.49)min vs(82.40±28.74)min,P=0.152],但差异无统计学意义。结论:Tig导管可安全应用于STEMI患者急诊CAG,并可缩短透视时间,降低辐射剂量,降低桡动脉痉挛发生率,缩短D-to-B时间。Objective:To compare the efficacy and safety of Tig versus Judkin’s catheter for emergency coronary angiography(CAG)in patients with STEMI.Methods:Seventy-nine patients with STEMI from Jan 2019 to Sep 2020 received emergency CAG via radial artery using Tig angiography catheter or Judkin’s angiography catheter were included.Tig catheter was the first choice in Tig group(T group,n=55)and Judkin’s catheter in Judkin’s group(J group,n=24).The success rate of CAG,fluoroscopy time,radiation dose,Door to Balloon(D-to-B)time and coronary complications were compared between the two groups.Results:There was no significant difference between two groups in coronary complications(0%vs 0%,P=1.000)and success(94.5%vs 83.3%,P=0.191)rate.T group was superior to J group in terms of fluoroscopy time[(117.81±48.33)s vs(212.10±65.42)s,P=0.002]and radiation dose[(181.77±67.74)mGy vs(283.10±76.69)mGy,P=0.002].The incidence of radial spasm in T group was lower than that in J group(1.8%vs 12.5%,P=0.081),as well as the D-to-B time[(73.37±21.49)min vs(82.40±28.74)min,P=0.152],but with no statistically significant difference.Conclusion:Tig catheters can be safely applied to emergency CAG in patients with STEMI and can reduce fluoroscopy time and radiation dose,possibly reducing the incidence of radial artery spasm and D-o-B time.

关 键 词：ST段抬高型心肌梗死 桡动脉 Tig造影导管 Judkin’s造影导管 冠状动脉造影 

分 类 号：R542.22[医药卫生—心血管疾病]