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目的:评价130例次经肱动脉途径冠状动脉介入治疗(PCI术)局部并发症情况。方法:连续入选2009年3月至2011年12月我院经肱动脉途径冠状动脉PCI术的病例130例次。分析经肱动脉介入治疗操作并发症情况。结果:共24例患者发生了局部并发症,并发症发生率为18.5%。其中穿刺局部发生血肿22例(16.9%),其中1例合并骨筋膜室综合征及正中神经损伤(0.8%),局部神经损伤1例(0.8%),假性动脉瘤1例(0.8%)。经处理后血肿全部吸收,最后仍有1例正中神经损伤和1例假性动脉瘤未能完全康复。结论:经肱动脉途径冠状动脉PCI术并发症发生率较高,熟悉肱动脉穿刺方法、掌握标准的压迫止血包扎方案、术后肢体夹板制动、并对其并发症有足够的认识和处理对策的充分准备可以减少并发症及其不良后果的发生。
PURPOSE: To evaluate the local complications of 130 cases undergoing coronary artery interventional therapy (PCI) through the brachial artery. Methods: A total of 130 cases of coronary artery PCI undergoing brachial artery approach from March 2009 to December 2011 were selected. Analysis of inter-brachial interventional treatment of complications. Results: A total of 24 patients had local complications, the complication rate was 18.5%. Among them, 22 cases (16.9%) had hematomas punctured locally, including 1 case of osteofascial compartment syndrome and median nerve injury (0.8%), 1 case of local nerve injury (0.8%), 1 case of pseudoaneurysm (0.8% ). After the treatment of all hematoma absorption, and finally there is still 1 case of central nerve injury and 1 case of pseudoaneurysm failed to fully recover. Conclusion: The incidence of complications of coronary artery via brachial artery is high, familiar with brachial artery puncture method, master standard compression hemostasis bandaging, postoperative splint splint, and adequate understanding of the complications and treatment strategies Adequate preparation can reduce the incidence of complications and their adverse consequences.