广西医学Issue(11)：1577-1579,3.DOI:10.11675/j.issn.0253-4304.2014.11.20
普通造影导丝代替交换导丝经桡动脉途径 PCI治疗对比分析
Comparative Analysis of Common Guide Wire versus Exchange Guide Wire in PCI Patients Undergoing Transradial Artery Approach
王艳飞 1任越 1刘海波 2刘亚宁 1冯翠娜1
作者信息
- 1. 河北大学附属医院心内科，保定市 071000
- 2. 中国医学科学院阜外心血管病医院心内科，北京市 100037
- 折叠
摘要
Abstract
Objective To study the safety and clinical efficacy of common guide wire instead of exchange guide wire for guiding catheter exchange in patients undergoing percutaneous coronary intervention ( PCI) by transradial artery approach .Methods One hundred and twelve patients requiring a PCI procedure were randomly assigned into two groups,with 56 cases in each group .TERUMO ultra-smooth exchange guide wire was used in the exchange guide wire group and TERUMO general ultra-smooth guide wire was used in common guide wire group .To perform a comparative analysis on the perspective time from guide wire delivering into the aortic root and retrieving resident wire ( PT1) at end of coronary anagiography ( CAG ) , CAG catheter delivering and retrieving time ( T1 ) , perspective time of guide wire delivering into resident catheter to aortic root before PCI (PT2),time of guide catheter delivering into aortic root (T2), total perspective time(PT):the sum of PT1 and PT2,the total time(T):the sum of T1 and T2,the costs and complications of two groups.Results PT1,T1,PT,T2 and T in the common guide wire group were significantly shorter than those in the exchange guide group(P<0.01).PT2 in the common guide wire group was significantly longer than that in the exchange guide group(P<0.01).The costs of guide wire in the exchange guide wire group was significantly more than that in the common guide wire group.But there was no significant difference in the complications between two groups (P>0.05). Conclusion During PCI treatment via transradial artery approach , the application of common ultra-smooth guide wire instead of exchange guide wire is of less perspective time ,convenient,easy,economical and practical .Its security is as same as that of exchange guide wire .关键词
冠状动脉造影/交换导丝/超滑导丝/桡动脉/经皮冠状动脉介入治疗Key words
Coronary angiography/Exchange guide wire/Ultra-smooth guide wire/Radial artery/Percutaneous coronary intervention分类
医药卫生引用本文复制引用
王艳飞,任越,刘海波,刘亚宁,冯翠娜..普通造影导丝代替交换导丝经桡动脉途径 PCI治疗对比分析[J].广西医学,2014,(11):1577-1579,3.
