摘要
目的 探讨经肱动脉穿刺冠状动脉腔内成形术的安全性及成功率。方法 经肱动脉穿刺冠状动脉成形术 (TBCA)组 2 78例 ,采用经右侧肱动脉穿刺途径。经股动脉穿刺冠状动脉成形术(TFCA)组 144例 ,采用经右侧股动脉穿刺途径。观察两组手术的成功率、并发症等。结果 两组穿刺插管及冠状动脉成形术成功率分别为 94 2 %与 10 0 %及 92 3%与 94 3% ,两组间P >0 0 5。两组并发症分别为 5 8%与 5 6 % ,P >0 0 5。术后持续卧床时间两组分别为 0与 (11 4± 4 6 )h ,有显著差异(P <0 0 0 1)。结论 经肱动脉穿刺冠状动脉成形术安全、有效 。
Objective To study the feasibility and safety of transbrachial coronary angioplasty (TBCA). Methods The results of TBCA in 278 patients (193 males, 85 femals) with a mean age of 33-86 (58.8±10.5) years were compared with those of transfemoral coronary angioplasty (TFCA)in 144 patients (97 males, 47 females) with a mean age of 35-80 (57.8±11.8) years. The procedure time, fluoroscopy time, and amount of radiographic contrast between the two groups were also examined. Results The artery puncture and cannulation success rates (94.2% vs 100%; P>0.05), the angioplasty success rates (92.3% vs 94.3%; P>0.05), and the complications (5.8% vs 5.6%; P>0.05)between the two groups had no significant difference. The bed rest time was 0 in TBCA group and (11.4±4.6)h in TFCA group. Conclusion The transbrachial coronary angioplasty could be performed safely and successfully in selected patients without any influence on post-operative exercise.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2001年第12期744-745,共2页
Chinese Journal of Cardiology
