| 摘要: |
| 目的：探讨经皮桡动脉入路介入治疗在急性心肌梗死中的应用。方法：急性心肌梗死患者107例，其中56例行直接经皮桡动脉入路冠状动脉介入（PCI）治疗（A组），51例行直接经皮股动脉入路PCI（B组），比较两组的穿刺成功率、PCI成功率、血管开通时间、手术总时间、穿刺点并发症。结果：A、B两组穿刺成功率均为100％，PCI成功率均大于96％，鞘管置入时间[（2．93±0．42）vs（3．07±0．54）min，P=0．14]、血管再通时间[（17．23±3．47）vs（16．81±4．86）min，P=0．61]、手术总时间[（47．04±7．53）vs（48．74±6．22）min，P=0．21]等差异均无统计学意义。B组穿刺点局部出血、血肿发生率（5／51，P=0．0164）及拔管迷走反射（4／51，P=0．0327）均明显高于A组（0／56）。结论：经皮桡动脉入路介入治疗行急诊PCI是安全可行的，而且能减少穿刺点并发症。 |
| 关键词: 经皮桡动脉入路 经皮股动脉入路 心肌梗死 冠状动脉介入治疗 |
| DOI：10.3724/SP.J.1008.2007.00175 |
|
| 基金项目:广东省科技计划项目（粤科计字[2004]212号）. |
|
| Percutaneous coronary angioplasty via radial artery for acute myocardial infarction |
| XIAO Hua, LI Zhi-liang , CHEN Ai-hua, SONG Xu-dong,FU Qiang, MIAO Fei, LIU Ying feng |
| (Department of Cardiology, Zhujiang Hospital, Nanfang Medical University, Guangzhou 510282, China) |
| Abstract: |
| Objective：To access the application of percutaneous coronary angioplasty via radial artery in treatment of acute myocardial infarction. Methods： Totally 107 patients with acute myocardial infarction （AMI） were included in this study. Transradial approach （group A） percutaneous coronary intervention （PCI） was used in 56 patients and the transfemoral approach （group B） PCI was used in 51 patients. The successful rates of puncture procedure and PCI, time of artery cannulation, the cannulation to balloon inflation times, the total procedure time, and local puncture complications were compared between the 2 groups. Results： The successful rates of puncture procedure were 100% in both groups and their successful rates of PCI were higher than 96%. The time of artery cannulation, the cannulation to balloon inflation time, and the total procedure time were similar in group A and group B （[2.93±0.42] min vs [3.07±0.54] min, P=0.14; [17.23±3.47] minvs [16.81±4.86] min, P=0.61; [47.04±7.53] min vs [48.74±6.22] rain, P=0.21, respectively）. The incidence of bleeding and edema around puncture sites in group B was higher than that in group A （5/51 vs 0/56, P=0. 016 4）3 the vagal reaction rate in group B was higher than that in group B （4/51 vs 0/56, P=0. 032 7）. Conclusion： Transradial access is a safe and feasible technique for performing percutaneous coronary intervention in treatment of acute myocardial infarction; it can decrease major bleeding complications |
| Key words: transradial approach transfemoral approach myocardial infarctions percutaneous coronary intervention |
