史亚娜,邓捷,王效增,赵昕,陶杰,荆全民,王耿,刘海伟

• 1:沈阳军区总医院心内科全军心血管病研究所

摘要(Abstract)：

目的比较冠状动脉旁路移植术后患者经左桡动脉及股动脉途径行介入治疗的有效性及安全性。方法回顾性分析116例冠状动脉旁路移植术后进行介入治疗的患者,其中桡动脉组46例,股动脉组70例,比较两组的基线资料、手术资料、并发症及近期疗效。结果两组患者的基线资料比较,差异均无统计学意义(均P>0.05)。两组的手术时间、射线曝光时间、穿刺时间及住院时间比较,差异均无统计学意义(均P>0.05)。桥血管经皮冠状动脉介入治疗(PCI)全部成功,两组的PCI成功率比较,差异无统计学意义(P=0.669)。桡动脉组未出现并发症;股动脉组在拔管压迫后共出现7例(10.0%)血管并发症,其中1例(1.4%)大出血,3例(4.3%)小出血,2例(2.9%)血肿,1例(1.4%)动静脉瘘。结论与经股动脉途径相比,冠状动脉旁路移植术后患者经左桡动脉行介入治疗可减少血管并发症发生率。

关键词(KeyWords)： 冠状动脉旁路移植术;桡动脉;介入治疗;并发症

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 史亚娜,邓捷,王效增,赵昕,陶杰,荆全民,王耿,刘海伟

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