经桡动脉路径行椎动脉支架成形术的临床研究

目的 探讨经桡动脉路径行椎动脉支架成形术的可行性与安全性。方法 对18例术前评估股动脉入路困难或不愿意术后卧床的患者经桡动脉路径行椎动脉支架成形术(桡动脉组),与同期30例经股动脉行椎动脉支架成形术(股动脉组)的穿刺成功率、X线曝光时间、手术操作时间、手术成功率、术中出血量、术后血管并发症、术后卧床时间进行比较。结果 2组穿刺成功率及手术成功率均为100%,桡动脉组X线曝光时间、手术操作时间、术中出血量与股动脉组比较均无明显差异(P>0.05); 桡动脉组卧床时间、术后血管并发症发生率明显低于股动脉组(P<0.05)。结论 经桡动脉入路行椎动脉支架成形术安全、可行,经桡动脉入路可作为经股动脉入路重要的补充术式

Clinical study of vertebral artery stenting angioplastyvia transradial access

ObjectiveTo investigate the feasibility and safety of vertebral artery stenting angioplasty via transradial access.Methods Eighteen patients who had difficulty evaluating femoral artery approach before operation or who were unwilling to stay in bed after operation were treated with tranradial artery route vertebral stenting(the transradial access group). There were 30 cases of vertebral artery stenting angioplasty via transfemoral access(the transfemoral access group)at the same time.The results of the puncturing,the X-ray exposure time,the duration of operation,the operative results,the amount of intraoperative blood loss,the incidence of postoperative vascular complications,the time of postoperative rest in bed time were compared between two groups.Results The success rate of puncture and operation was 100% in both groups. There was no significant difference in X-ray exposure time, operative time and intraoperative bleeding between radial artery group and femoral artery group(P>0.05).The duration of bed rest and the incidence of postoperative vascular complications in the transradial access group were significantly lower than those in the transfemoral access group(P<0.05).Conclusion In performing stenting angioplasty for vertebral artery occlusion or stenosis, both transradial access and transfemoral access are safe,reliable. Transradial access can be used an important supplementary procedure of transfemoral access