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目的:分析经桡动脉路径急诊经皮冠状动脉介入治疗(PCI)急性右心室梗死(ARVMI)的可行性及近期疗效。方法:分析我院18例ARVMI患者发病3～12h后行桡动脉路径急诊PCI的临床结果。结果:18例患者中,男61.1%,女38.9%,平均年龄(64±9.1)岁。造影显示:单支病变27.8%;双支病变50.0%;3支病变16.7%;合并左主干病变5.5%。梗死相关动脉完全闭塞77.8%。桡动脉路径PCI成功率100%,住院期间无死亡病例。结论:桡动脉路径急诊PCI安全可靠,ARVMI早期行急诊PCI手术成功率高,能明显降低病死率,应为ARVMI的首选治疗。
Objective: To analyze the feasibility and short-term efficacy of transradial approach to acute percutaneous coronary intervention (PCI) for acute right ventricular infarction (ARVMI). Methods: The clinical results of 18 patients with ARVMI in our hospital who underwent emergency PCI of radial artery pathways after 3 ~ 12h after onset were analyzed. Results: Of the 18 patients, 61.1% were male and 38.9% were female, with an average age of (64 ± 9.1) years. Angiography showed: single-vessel disease 27.8%; double-vessel disease 50.0%; 3 lesions 16.7%; with left main disease 5.5%. Infarct-related arteries were completely occluded by 77.8%. Radial artery PCI success rate of 100%, no deaths during hospitalization. Conclusion: Radial artery emergency PCI is safe and reliable. ARVMI has a high success rate of early emergency PCI and can significantly reduce the mortality rate. It should be the first choice of ARVMI.