经肱动脉急诊经皮冠状动脉介入治疗40例临床观察

目的:探讨经肱动脉急诊经皮冠状动脉介入(PCI)治疗的安全性和有效性.方法:收集2009年3月至2013年9月行急诊PCI治疗病人为研究对象,根据穿刺路径分为肱动脉组40例、桡动脉组80例和股动脉组85例,比较3组穿刺成功率、穿刺时间、复杂病变手术成功率、手术并发症及预后等情况.结果:肱动脉组穿刺时间及手术时间均少于桡动脉组(P<0.01),而3组间穿刺成功率、复杂病变手术成功率差异均有统计学意义(P<0.01和P<0.05).肱动脉组住院时间少于股动脉组(P<0.01),手术并发症少于股动脉组(P<0.05).3组病人的预后情况差异均无统计学意义(P>0.05).结论:经肱动脉行急诊PCI治疗是一种安全有效的手术途径,具有较高的临床应用价值.

The clinical observation of the percutaneous coronary intervention via brachial artery in 40 cases

Objective:To explore the safety and validity of the percutaneous coronary intervention(PCI) via brachial artery.Methods:The PCI patients from March 2009 to September 2013 were divided into the brachial artery group(40 cases),radial artery group(80 cases) and femoral artery group(85 cases) according to the operation path.The success rate and time of puncture,success rate of complex lesion operation,surgical complication and prognosis between three groups were compared.Results:The puncture time and operation time in brachial artery group were less than those in radial artery group(P<0.01),the success rates of the puncture and complex lesion operation in the three groups have statistical significance(P<0.01 and P<0.05).The hospitalization time in brachial artery group was less than that in femoral artery group(P<0.01),and the surgical complication in brachial artery group was less than that in femoral artery group(P<0.05).The differences of the prognosis between three groups were not statistically significant(P>0.05).Conclusions:The PCI via brachial artery is a safe and effective operation approach,which has great value in clinical application.