中国临床医学2017，Vol.24Issue(3)：353-358,6.DOI:10.12025/j.issn.1008-6358.2017.20160941
球囊辅助通过技术处理桡动脉痉挛的有效性和安全性
The effectiveness and safety of balloon-assisted tracking technique guiding catheter through the spastic radial artery
摘要
Abstract
Objective:To evaluate the safety and efficacy of balloon-assisted tracking (BAT) technique in guiding the catheter through the spastic radial artery via percutaneous coronary intervention.Methods:The data of patients who received coronary intervention through the transradial approach in Department of Cardiology of Zhongshan Hospital Affiliated to Fudan University from June 2014 to September 2016 were retrospectively analyzed.69 cases of radial artery and / or brachial artery spasm were selected, of which 24 cases were treated with BAT technique (group BAT), and 45 cases were treated by the conventional method (conventional group).The success rate of the catheter through the spastic segment and the incidence of related complications were compared between the two methods.Results:In the BAT group, the guide catheter was successfully negotiated across the spastic segment or dissecting vessels in all 24 cases (100%), while in only 14 cases (31.1%) in the conventional group (P=0.000).Guide catheter traversing the spastic segment within 5min, between 5min and 15min, and more than 15min was seen in 20 (83.3%), 3 (12.5%) and 1 (4.2%) patients in the BAT group, while in 2 (14.3%), 6(42.9%) and 6 (42.9%) patients in the conventional group, respectively (P=0.000).Incidence of forearm hematoma was 8.3% and 20% in the BAT group and the conventional group, and the difference was not statistically significant.Conclusions:The BAT technique is a safe and effective way to guide the catheter through the spasm of radial and/or brachial artery via percutaneous coronary intervention.BAT is superior to the conventional technique.关键词
经皮冠状动脉介入治疗/球囊辅助通过技术/桡动脉痉挛/指引导管Key words
percutaneous coronary intervention/balloon-assisted tracking/radial artery spasm/guide catheter分类
医药卫生引用本文复制引用
黄浙勇,葛均波,陈婧,石洪涛,杨虹波,宋亚楠,戴宇翔,李晨光,王齐兵,钱菊英..球囊辅助通过技术处理桡动脉痉挛的有效性和安全性[J].中国临床医学,2017,24(3):353-358,6.基金项目
国家自然科学基金(81370003, 81570223),国家重点研发计划(2016YFC1301200).Supported by National Natural Science Foundation of China (81370003, 81570223) and National Key Research and Development Project of China (2016YFC1301200). （81370003, 81570223）
