5F指引导管在冠心病经桡动脉介入治疗中的应用

目的：评价冠心病患者经桡动脉介入治疗中使用5F指引导管的可行性和安全性。方法：102例经桡动脉介入治疗的冠心病患者，按指引导管大小随机分为A组（6F指引导管，n=54）和B组（5F指引导管，n=48），比较两组的手术成功率、穿刺部位相关并发症及住院期间心血管不良事件发生率。结果：A组的穿刺部位并发症高于B组（P〈0．01），手术成功率及住院期间不良事件发生率两组无明显差别（P〉0．05）。结论：5F指引导管在冠心病经桡动脉介入治疗中减少穿刺部位相关并发症。是安全可行的。

Use of 5 French guiding catheter for percutaneous coronary intervention

Abstract： Objective： To explore the security and feasibility of 5F guiding catheter for percutaneous coronary intervention （PCI） by radial artery. A total of 102 patients underwent PCI by radial artery were randomly divided to group A （treated with 6F guiding catheter, n= 54） and group B （treated with 5F guiding catheter, n= 48） according to the size of guiding catheter. The success rate of operation, incidence of entry site complications and adverse cardiovascular events in hospital major were compared between the two groups. Results： Higher incidence of entry site complications was documented in A group when compared with B group （P〈0.01）, there were no differences in the success rate of operation and major adverse cardiovascular events in hospital （P〉0.05）. Conclusion： Percutaneous coronary intervention by radial artery with 5F guiding catheter reduces incidence of entry site complications, is safe and feasible.