摘要
目的探讨经尺动脉径路行冠状动脉介入(CAI)治疗的可行性及安全性。方法 CAI治疗患者304例,术前均行桡、尺动脉正反Allen试验和血管超声评估,排除禁忌证。分为两组:A组54例,经尺动脉行CAI;B组250例,经桡动脉行CAI。比较CAI诊疗的成功率、血管并发症发生率等。结果血管超声检测显示尺动脉内径较桡动脉内径稍粗大[(3.14±0.40)mm vs.(2.74±0.48)mm](P<0.05)。A组诊治成功率稍高于B组(98.15%vs.95.60%)(P>0.05)。结论经尺动脉路径行CAI诊疗安全可行。
Objective To investigate the feasibility and safety of transulnar artery coronary intervention therapy （CAIT）. Methods After excluding the contraindications by Allen tests and ultrasonic measurements of the radial and ulnar arteries, CAIT was carried out in 304 patients, who were assigned into two groups of A（transulnar artery, 54 cases） and B（transradial artery, 250 cases）. The success rate of CAIT and vascular complications were compared. The ulnar nerve injury after one month was followed up. Results The diameter of ulnar artery was thicker than that of radial artery [（3.14±0. 40） mm vs. （2. 74±0. 48） mrn]（P〈0. 05）. The success rate of CAIT was slightly higher in group A than that in group B（98.15% vs. 95.60%）. Conclusion The CAIT via ulnar artery is feasible and safe.
出处
《江苏医药》
CAS
北大核心
2013年第19期2263-2265,共3页
Jiangsu Medical Journal
基金
江苏省卫生厅重点科研项目(K201109)
关键词
冠状动脉介入治疗
尺动脉
Coronary intervention therapy
Ulnar artery
