经桡动脉冠状动脉介入治疗老年冠心病患者的临床观察

目的:评价经桡动脉行冠状动脉介入(PCI)治疗老年冠心病患者的临床疗效及安全性。方法:选择256例老年(年龄≥70岁)冠心病患者,分为桡动脉组(164例)和股动脉组(92例),比较2组临床基线、PCI成功率、造影剂用量、手术时间及并发症的发生率。结果:桡动脉组手术成功率为98.2%。股动脉组手术成功率为98.9%,2组手术时间和造影剂用量比较,差异无统计学意义,桡动脉组4例出现血管并发症,股动脉组9例出现并发症,2组比较有统计学意义,桡动脉组和股动脉组患者术后6个月时严重心脏不良事件发生率比较,差异无统计学意义。结论:经桡动脉冠状动脉介入治疗老年冠心病患者是安全有效的治疗方法。

Clinical effect of transradial percutaneous coronary interventional therapy on coronary heart disease in elderly patient

Objective：To evaluate the safety and clinical efficacy of transradial percutaneous coronary interventional（TR-PCI） therapy on coronary heart disease in elderly patient.Methods： A total of 256 elderly patients were collected,including 164 patients of TR-PCI group and 92 patients of transfemoral interventional（TFI） therapy group.The differences,such as clinical baseline,achievement ratio of the procedure,procedure time,amount of contrast media,and incidence of complications,were compared in the two groups.Results：The achievement ratio of the procedure was 98.2% and 98.9% in TR-PCI group and TFI group,respectively.There were no significant differences in the mean procedure time（61.4±24.5） min vs（57.3±26.7）min,P0.05] and amount of contrast media（155.0±41.5） ml vs（149.0±45.8）ml,P0.05] between the two groups.Vascular complications occurred in 4 cases（2.4%） in TR-PCI group and 9 cases（9.8%） in TFI group（P0.05）.The difference of the major adverse cardiac events（MACE） rate was not statistical significant（8.2% vs 9.0%,P0.05）during the follow-up for 6 months.Conclusion：Transradial percutaneous coronary interventional therapy is safe and effective for elderly patients with coronary artery disease.