经右桡动脉-右股静脉途径介入封堵动脉导管未闭的安全性及有效性分析

目的探讨经右桡动脉-右股静脉途径介入封堵动脉导管未闭的安全性及有效性。方法选取介入封堵动脉导管未闭患者45例,分为经右桡动脉-右股静脉途径封堵动脉导管未闭(PDA)(桡动脉组)14例,经右股动脉-右股静脉途径封堵PDA(股动脉组) 31例,比较两组的手术成功率、平均手术时间、造影清晰度、手术并发症发生率。结果两组平均手术时间、手术成功率比较,差异无统计学意义。两组手术并发症比较,有差异,P<0.05。结论两种手术途径均安全有效,但经右桡动脉途径介入封堵中,平均卧床时间及手术并发症均明显低于传统手术路径,值得推广。

Safety and effectiveness of transcatheter closure of patent ductus arteriosus via right radial artery right femoral vein

Objective To investigate the safety and effectiveness of transcatheter closure of patent ductus arteriosus (PDA) via right radial artery and right femoral vein.Methods A retrospective analysis was made on 45 patients with patent ductus arteriosus occlusion. 14 patients with PDA occlusion via right radial artery-right femoral vein and 31 patients with PDA occlusion via right femoral artery-right femoral vein were divided into two groups. The operation success rate, average operation time, contrast clarity, average bed time and the incidence of operation complications were compared between the two groups.Results There was no statistically significant difference between the two groups in average operation time and success rate. Comparison of surgical complications between the two groups showed that there were 0 cases in the radial artery group and 7 cases in the femoral artery group (P<0.05).Conclusion Both surgical approaches are safe and effective, but the average bed rest time and surgical complications in interventional occlusion via the right radial artery approach are significantly lower than traditional surgical approaches, and are worth further promotion.