摘要
目的:探讨桡动脉TRA(TRA)与股动脉(TFA)穿刺入路对心脑血管联合造影患者围手术期并发症以及住院时间的影响。方法:回顾性收集2013年5月至2015年8月期间,北京安贞医院神经介入科诊治的心脑血管联合造影术225例。根据穿刺途径的不同分为桡动脉组和股动脉组。对比两组间危险因素、围手术期并发症、住院时间(LOS)。用倾向性评分匹配危险因素后再次对比两组间的并发症和LOS。结果:①本研究中共纳入225例患者,其中男性73.8%(166/225例),年龄32~80岁,平均年龄(59.32±9.97)岁。平均住院时间5(2,7)d。桡动脉组占76.4%(172/225例),股动脉组23.6%(53/225例)。②围手术期不良事件总发生率1.8%(4/225例),桡动脉组2例(术后消化道出血1例,急性缺血性卒中1例);股动脉组2例,均为穿刺点血肿;组间比较差异无统计学意义(3.77%vs.1.16%,P=0.209)。上述不良事件经处理后临床好转或痊愈。两组均无死亡病例。用倾向性评分匹配(PSM)的方法,调整年龄、脑梗死、高血压、糖尿病和冠心病后,筛选出TRA和TFA组各40例患者。两组的不良事件差异无统计学意义(2.5%vs.5.0%,P=0.556)。TRA组的患者中,低LOS的患者占比较大(80%vs.57.5%,P=0.030)。结论:对于心脑联合造影的患者来说,TRA和TFA两组之间围手术期不良事件间差异无统计学意义;TRA可降低心脑联合造影患者的LOS。
Objective:To investigate the influence of trans radial access(TRA)and trans femoral access(TFA)puncture approach on the complications and length of hospital stay(LOS)in patients underwent simultaneously cerebral coronary angiography(SCCAG).Methods:A total of 225 SCCAG patients were collected retrospectively in the Department of Interventional Neuroradiology of Beijing Anzhen Hospital.They were divided into TRA group and TFA group according to the puncture site.The risk factors,perioperative complications and hospital length of stay(LOS)were compared between the two groups.After matching the risk factors with propensity score,the complications and LOS between the two groups were compared again.Results:A total of 225 patients were included in this study,including 73.8%(166/225)males,aged 32-80y,with a mean age of(59.32±9.97)y.2.The mean LOS was 5(2,7)d days.There were 76.4%(172/225)cases in TRA group and 23.6%(53/225)cases in TFA group.The total incidence of perioperative adverse events was 1.8%(4/225),2 cases in TRA group(1 case of postoperative gastrointestinal bleeding and 1 case of acute ischemic stroke);There were 2 cases in TFA group,all of which were hematoma at puncture site;There was no significant difference between the groups(3.77%vs.1.16%,P=0.209).The above adverse events were clinically improved or cured after treatment.There was no death in both groups.After adjusting age,cerebral infarction,hypertension,diabetes and coronary heart disease with propensity score,there were 40 patients in TRA group and TFA group.There was no significant difference in adverse events between the two groups(2.5%vs.5.0%,P=0.556).Compared with TFA,there was more TRA patients in the low LOS group(80%vs.57.5%,P=0.030).Conclusions:There was no significant difference in perioperative adverse events between TRA and TFA groups;TRA can reduce the LOS in patients underwent SCCAG.
作者
王力锋
何晓芬
毕齐
WANG Lifeng;HE Xiaofen;BI Qi(Department of Interventional Neuroradiology,Anzhen Hospital,Beijing,Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)
出处
《心肺血管病杂志》
CAS
2022年第8期893-897,共5页
Journal of Cardiovascular and Pulmonary Diseases
关键词
心脑联合造影术
穿刺入路
并发症
住院时间
Simultaneously cerebral coronary angiography
Puncture site
Complication
Hospital length of stay
