中华医学杂志（英文版）2007，Vol.120Issue(7)：539-544,6.
Comparison of immediate and followup results between transradial and transfemoral approach for percutaneous coronary intervention in true bifurcational lesions
Comparison of immediate and followup results between transradial and transfemoral approach for percutaneous coronary intervention in true bifurcational lesions
YANG Yue-jin 1LIU Hai-bo 1YUAN Jin-qing 1YOU Shi-jie 1LI Jian-jun 1DAI Jun 1GAO Run-lin 1XU Bo 1CHEN Ji-lin 1KANG Sheng 1QIAO Shu-bin 1QIN Xue-wen 1YAO Min 1CHEN Jue 1WU Yong-jian1
作者信息
- 1. Centre for Coronary Artery Disease, Department of Cardiology,Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China
- 折叠
摘要
Abstract
Background A comparison of efficacy and safety between transradial and transfemoral approach for percutaneous coronary intervention (PCI) in bifurcations has not been done. This study evaluated feasibility of transradial PCI (TRI) and compared the immediate and followup results with transfemoral PCI (TFI) in bifurcations.Methods One hundred and thirty-four consecutive patients with bifurcations were treated with PCl in our hospital from April 2004 to October 2005. Of these, there were 60 patients (88 lesions) in TRI group and 74 patients (101 lesions) in TFI group. Bifurcations type was classified according to the Institut Cardiovasculaire Paris Sud Classification.Results TRI group had smaller stent diameter ((3.06±0.37) mm vs (3.18±0.35) mm, P=0.023) and postprocedural in-stent minimum lumen diameter ((2.62±0.37) mm vs (2.74±0.41) mm, P=0.029) than TFI, but there were not significant differences in in-stent subacute thrombosis rate (0% vs 1.0%, P=0.349), target lesion revascularization (TLR)(0% vs 1.0%, P=0.349) following procedure and thrombosis (2.3% vs 1.0%, P=0.482), in-stent restenosis (12.5% vs10.9%, P=0.731), in-segment restenosis (17.0% vs 14.9%, P=0.681), TLR (10.2% vs 13.9%, P=0.446) and TLR-free cumulative survival rate (89.8% vs 86.1%, P=0.787) at seven months followup. No death was reported in the two groups.Conclusion Transradial intervention is feasible and appears to be as effective and safe as transfemoral PCI in treatment of true bifurcational lesions.关键词
transradial percutaneous coronary intervention/transfemoral percutaneous coronary intervention/bifurcational lesions/treatment outcomeKey words
transradial percutaneous coronary intervention/transfemoral percutaneous coronary intervention/bifurcational lesions/treatment outcome分类
医药卫生引用本文复制引用
YANG Yue-jin,LIU Hai-bo,YUAN Jin-qing,YOU Shi-jie,LI Jian-jun,DAI Jun,GAO Run-lin,XU Bo,CHEN Ji-lin,KANG Sheng,QIAO Shu-bin,QIN Xue-wen,YAO Min,CHEN Jue,WU Yong-jian..Comparison of immediate and followup results between transradial and transfemoral approach for percutaneous coronary intervention in true bifurcational lesions[J].中华医学杂志（英文版）,2007,120(7):539-544,6.
