摘要
目的 旨在探讨经桡动脉行冠状动脉内支架置入术的价值。方法 将 10 0例心绞痛患者分为经桡动脉和股动脉组并置入冠状动脉内支架 ,分别观察二组在手术和住院结果等方面的比较。结果 发现二组在平均手术操作时间、平均到冠脉时间、首次支架置入成功率、平均使用导管数、主要冠脉事件等方面差别无显著性 ,而经桡动脉组在局部并发症 (出血或小血肿 )、压迫止血或病人移动、住院时间和病人不适反应等方面明显优于股动脉组 ,而平均动脉插管时间和动脉痉挛发生率则比股动脉组明显增加。结论 经桡动脉行冠脉内支架置入与经股动脉同样安全有效 ,而且经桡动脉并发症更少 ,但是需要一定的经验者。
Objective To investigate the value of transradial approach in intracoronary stent implantation Methods 100 patients with angina pectoris were divided as transradial and femoral groups (each 50), both results of procedural characteristics and in hospital clinical outcome after stenting were compared Results There were no statistically significant difference between the two groups for baseline, median time of the procedure, median time to coronary access, number of catheters used/cases, first success rate of stent implanted in, and major events poststenting Local complications (recurent bleeding or small haematoma), average hospitalization time after stenting, patient satisfaction and choice in radial group were significantly better than in femoral group, but median time arterial access and artery spasm were significantly higher in radial group Conclusion Transradial approach can be chosen as an alternative to transfemoral approach in coronary stent implantation and was preferable in reducing local complications and improving patient's comfort
出处
《中国介入心脏病学杂志》
2000年第4期177-179,共3页
Chinese Journal of Interventional Cardiology
