经桡动脉和股动脉途径行冠状动脉介入治疗临床分析

目的:探讨经桡动脉行冠状动脉介入治疗(percutaneous coronary intervention:PCI)的疗效及安全性.方法:2009年9月至2010年9月我院住院行冠状动脉介入治疗的患者268例,其中经桡动脉途径100例(观察组),经股动脉途径168例(对照组),比较两组PCI成功率、血管并发症(出血和血肿、假性动脉瘤、血管闭塞、深静脉血栓)、住院时间等.结果:观察组与对照组相比,成功率无显著性差异(P>0.05),但外周血管并发症及住院时间明显低(P<0.05).结论:经桡动脉途径行冠状动脉介人治疗较经股动脉途径更安全有效.

Clinical Analysis of Percutaneous Coronary Intervention Via Radial Artery and Femoral Artery

Objective： To explore the clinical efficacy and methodology of percutaneous coronary intervention via radial approach. Methods： Choose 268 routine coronary intervention patients, and divided radial artery group （100patients） and femoral artery group（168patients）.The primary outcome including： PCI success rate, blood vessels complications （bleeding and hematoma, pseudo-aneurysm, occlusive vascular, deep venous thrombosis）, length of hospital stay, etc. Results： Compared with femoral artery group, the radial artery group has no significant difference （P〉0.05） in the success rate, but peripheral vascular complications and hospitalization time significantly lower than the femoral group（P〈0.05 ）. Conclusion： PCI via radial approach is safe and effective.