经桡动脉冠状动脉腔内成形术治疗急性冠状动脉综合征Transradial approach for coronary angioplasty in patients with acute coronary sydrome
李旭平,沈向前,方臻飞,胡信群,祁述善,周胜华
摘要(Abstract)：
目的 评价急性冠状动脉综合征的患者采用经桡动脉冠状动脉腔内成形术的可行性。方法 急性冠状动脉综合征的患者 96例 ,经桡动脉穿刺冠状动脉成形术 (TRCA)组 5 3例 ;经股动脉穿刺冠状动脉成形术 (TFCA)组 4 3例。观察两组手术的成功率、并发症等。结果 两组手术过程中均无死亡和心肌梗死并发症发生。两组插管成功率分别为 96 2 %与 97 7% ,两组冠状动脉成形术成功率分别为 94 3%与 95 4 % ;两组间差异无显著性。但出血并发症TRCA组为 0 ,而TFCA组为 7 2 % ,两组间差异有显著性 (P <0 0 1)。术后持续卧床时间两组分别为 0与 (12 8± 5 6 )h ;住院天数两组分别为 (2 5± 0 4 )d与 (3 8± 0 6 )d ;两组比较差异均有显著性 (P <0 0 1)。结论 经桡动脉冠状动脉成形术治疗急性冠状动脉综合征安全有效 ,出血并发症少 ,住院时间短 ,且不影响术后患者活动。
关键词(KeyWords)： 血管成形术,经腔,经皮冠状动脉;桡动脉;急性冠状动脉综合征
基金项目(Foundation):
作者(Author): 李旭平,沈向前,方臻飞,胡信群,祁述善,周胜华
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