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观察经桡动脉入路对ST段抬高的急性心肌梗死(STEMI)病人行直接经皮冠状动脉介入(PCI)治疗的有效性和安全性,对连续607例STEMI住院病人分别接受经桡动脉入路(n=273)或经股动脉入路(n=334)途径行PCI治疗,观察两组手术成功率和并发症发生率。结果表明,两组PCI成功率没有显著性差异(97.07%比95.81%,P>0.05);经桡动脉入路组局部血肿、假性动脉瘤、迷走反射发生率显著低于经股动脉入路组。结论:行PCI治疗的STEMI病人经桡动脉入路途径是安全、有效和可行的方法,与经股动脉比较,经桡动脉途径可减少并发症的发生。
To observe the effectiveness and safety of transradial approach for STEMI patients undergoing direct percutaneous coronary intervention (PCI). Sixty consecutive STEMI inpatients undergoing percutaneous transradial coronary intervention (N = 273) or femoral artery access (n = 334) via PCI. The surgical success rate and complication rate of the two groups were observed. The results showed that there was no significant difference in the success rate of PCI between the two groups (97.07% vs 95.81%, P> 0.05). The incidence of local hematoma, pseudoaneurysm and vagus reflex in the transradial access group was significantly lower than that in the femoral artery group. Conclusion: Transradial approach to STEMI patients undergoing PCI is a safe, effective and feasible method. Compared with the femoral artery, transradial approach can reduce the incidence of complications.