274例经皮桡动脉穿刺介入术治疗冠心病Percutaneous transradial approach for coronary angiography or angioplasty
周景昱,吕安林,贾国良,郭文怡,王琼,王小燕,李援,李伟,赵月盛
摘要(Abstract)：
目的 探讨经桡动脉介入治疗冠心病的可行性和安全性。方法 6 0 8例冠心病患者分别经桡动脉 (2 74例 ,A组 )或经股动脉 (334例 ,F组 )途径接受介入治疗 ,观察两组手术成功率和术后并发症情况。结果 两组患者接受选择性冠状动脉造影 (CAG)或经皮腔内冠状动脉成形术 (PTCA)的手术成功率差异无显著性。A组局部血肿发生率显著低于F组 ,无假性动脉瘤 (F组 7例 ,P <0 0 5 )等其他血管及皮肤并发症 ,1例发生术侧肢体浮肿 ;F组出现 1例动静脉瘘、2例术侧肢体浮肿、4例穿刺部位感染、5例穿刺部位表皮坏死 ,但两组相比差异均无显著性。两组均无远端肢体缺血。结论 经桡动脉途径行经皮冠状动脉介入治疗术后并发症少 ,可行性高 ,安全有效 ,但需要一定的经验。
关键词(KeyWords)： 桡动脉;冠状动脉疾病;血管成形术,经皮,经腔冠状动脉
基金项目(Foundation):
作者(Author): 周景昱,吕安林,贾国良,郭文怡,王琼,王小燕,李援,李伟,赵月盛
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