经桡动脉穿刺冠状动脉复杂病变的介入治疗

目的　探讨复杂冠状动脉病变经桡动脉穿刺途径行介入治疗的成功率和并发症。方法　 184例复杂冠状动脉病变的冠心病心绞痛患者中 ,经桡动脉穿刺组 4 6例 ,对照组为经股动脉穿刺者 138例 ,观察两组手术成功率、术后并发症等情况。结果　经桡动脉组手术成功率为 92 .2 % ,与经股动脉组 (94 .9% )相比无明显差异 (P>0 .0 5 )。但术后与穿刺有关的并发症发生率 ,经桡动脉组明显少于经股动脉组 (10 .8% vs 2 8.3% ,P<0 .0 5 ) ;术后卧床时间也明显短于经股动脉穿刺组 (P<0 .0 1)。而经桡动脉组从穿刺开始至指引导管放置成功所需的时间长于经股动脉组(P<0 .0 5 )。结论　经选择的冠状动脉复杂病变经桡动脉途径介入治疗具有较高的成功率。经桡动脉途径术后与穿刺有关的并发症发生率低。

Transradial coronary angioplasty of complex coronary artery diseases

Objective To investigate the success rates and complications of transradial coronary angioplasty in patients with complex coronary diseases. Methods 46 cases of angina pectoris with complex coronary diseases were selected for transradial coronary angioplasty. The procedure success rates and complications were recorded and compared with the results of transfemoral angioplasty in 138 cases of coronary heart disease with complex coronary diseases. Results The success rates was 92.2% in transradial group compared with 94.9% in transfemoral group (P>0.05). The rate of total complications related to puncture after procedure in transradial group was less than transfemoral group (10.8% vs 28.3%, P<0.05). Conclusion Tranradial coronary angioplasty has high success rate in selected complex coronary disease patients and the complications related to puncture after procedure is lower than transfemoral.