摘要
目的探讨快速性心律失常患者行经导管射频消融术后并发股动脉假性动脉瘤的影响因素。方法回顾性分析2012年9月至2017年8月在三甲医院住院患者中7984例接受射频消融术患者的病例资料,其中术后并发股动脉假性动脉瘤的患者41例作为实验组,同时随机选取216例未发生假性动脉瘤患者,作为对照组,分析假性动脉瘤的高危因素。结果经导管行射频消融术后并发股动脉假性动脉瘤的发生率为0. 53%;其中股总动脉发生率最多,占52. 3%。单因素分析显示两组患者在房颤、年龄、高血压、INR延长、术前抗凝药物使用方面差异有统计学意义(P<0. 05)。Logistic回归分析结果显示影响射频消融术后并发股动脉假性动脉瘤的相关因素为房颤、年龄高血压、INR延长。结论房颤、年龄大于60岁、高血压、INR值延长是假性动脉瘤的高危影响因素。
Objective To investigate the related factors for the concurrence of femoral artery pseudoaneurysm after radiofrequency catheter ablation.Methods Clinical data of 7,984 hospitalized patients who underwent radiofrequency ablation arrhythmia from September 2012 to August 2017 in a grade-A Tertiary Hospital were retrospectively analyzed.Of these patients,41 were found to have femoral artery pseudoaneurysms and taken as experimental group. At the same time,216 patients who meet the requirements was randomly selected as a control group.The high risk factors for femoral artery pseudoaneurysms were analyzed.Results The total incidence of femoral artery pseudoaneurysm after radiofrequency catheter ablation was 0. 53% in this study,of which,52. 3% of the pseudoaneurysm occurred in total artery bifurcation. Compared the difference in the two groups,patients with atrial fibrillation,age,hypertension prevalence,INR extended,and preoperative usage of anticoagulant drugs were statistically significant(P< 0. 05).Logistic regression analysis showed that risk factors of femoral pseudoaneurysm after transcatheter radiofrequency ablation included fibrillation,age,hypertension,and INR extended. Conclusion Patients with atrial fibrillation,elderly,hypertension prevalence,INR extended,and preoperative usage of anticoagulant drugs are high risks of femoral artery pseudoaneurysms.
作者
肖娴
贺莉
徐英
游桂英
XIAO Xian;HE Li;XU Ying;YOU Gui-ying(Department of Cardiology,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《实用医院临床杂志》
2019年第4期121-123,共3页
Practical Journal of Clinical Medicine
