中国临床保健杂志2012，Vol.15Issue(4)：352-355,4.DOI:10.3969/J.issn.1672-6790.2012.04.006
经桡动脉与经股动脉入径行急诊经皮冠状动脉介入治疗ST段抬高型急性心肌梗死临床对比研究
Effectiveness and safety of transradial approach for emergency percutaneous coronary intervention in patients with acute myocardial infarction with ST elevation
余华 1马礼坤 1冯克福 1陈鸿武 1胡昊 1郑丽梅 1叶祺1
作者信息
- 1. 安徽医科大学附属省立医院心内科,安徽省心血管病研究所,合肥230001
- 折叠
摘要
Abstract
Objective The purpose of this study was to evaluate safety and efficacy of percutaneous coronary intervention ( PCI) via the radial artery or via the femoral artery in treating the acute myocardial infarction with ST elevation (STEMI). Methods PCI was performed on 112 consecutive STEMI patients either via the radial artery (n = 77) or via the femoral artery (n= 35) , the correlated index post the procedures, the achievement ratio and the occurrence of the complications were compared between both groups. Results All operations were successfully performed without severe complications in the two groups. There was no significant difference on the number of guiding catheters used in both groups (1. 12 ± 0. 23 vs 1. 08 ± 0. 34) , the operation time from arteriopuncture to saccule expanding (42.34 ±1.23 vs 48.18 ±2.34 min) ,saccules (1. 21 ±0. 32 vs 1.18 ±0. 25) or stems (1.15 ±0.37 vs 1.16 ± 0.21) applied and contrast agent (98.32 ±8.51 vs 95.45 ±7.23ml). However,there were fewer vascular-correlated complications occurred with 8 cases ( 8/77 ) of hematoma correlated with arteriopuncture in the radial artery group, in comparison with 13 cases (13/35) in the femoral artery group including 1 case of false aneurysm (P ＜0. 05 ). There were 5 cases (5/35) of vasovagal reflex occurred in the femoral artery group after the procedure, but no one in the radial artery group ( P ＜ 0.05). There were fewer urethra] catheterizations, i. e. 1 case (1/77) in the radial artery group and 6 cases (6/35) in the femoral artery group needed after the procedure. Inpatient time was also reduced(7.45 ± 0.61 vs 8.39 ±0.53 days.P ＜0.05)in the radial artery group. In both group,MACE was not found and no revascu-larization in the target vessel was needed during the follow up for 6 months. Conclusion PCI via femoral artery are both effective and safe in treating STEMI,but PCI via radial artery is correlated with fewer vascular complications,occurrence of vasovagal reflex.关键词
心肌梗死/血管成形术,经腔,经皮冠状动脉/桡动脉/股动脉/急诊处理Key words
Myocardial infarction/ Angioplasty, transluminal, percutaneous coronary/ Radial artery/ Femoral artery/ Emergency treatment.分类
医药卫生引用本文复制引用
余华,马礼坤,冯克福,陈鸿武,胡昊,郑丽梅,叶祺..经桡动脉与经股动脉入径行急诊经皮冠状动脉介入治疗ST段抬高型急性心肌梗死临床对比研究[J].中国临床保健杂志,2012,15(4):352-355,4.
