两种桡动脉通路在经皮冠状动脉介入治疗中的可行性及安全性对比OA

Objective:To compare the feasibility and safety of two radial artery pathways in percutaneous coronary intervention(PCI).Method:A total of 120 patients with routine PCI admitted to the Second Internal Medicine Department of Yuhuan Second People's Hospital from September 2020 to December 2022 were selected.Random number table method was used to divide the patients into two groups,with 60 cases in each group.The tabatiere anatomique group selected the distal transradial artery approach(TRA),that is,the tabatiere anatomique,as the puncture point,and the conventional group selected classic TRA.The puncture success rate,the incidence of radial artery spasm,the degree of arm pain and the incidence of postoperative complications were compared between the two groups.Result:No radial artery spasm occurred in both groups.The degree of arm pain in tabatiere anatomique group was lower than that in conventional group,and the puncture success rate was higher than that in conventional group,the differences were statistically significant(P＜0.05).The incidence of postoperative complications in tabatiere anatomique group was 6.67%,which was lower than 16.67%in conventional group,and the difference was statistically significant(P＜0.05).Conclusion:Selecting the tabatiere anatomique as the puncture point for PCI can improve the success rate of puncture,reduce the degree of postoperative arm pain,and reduce the incidence of postoperative complications.