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目的探讨经桡动脉行急诊经皮介入治疗(percutaneous coronary intervention,PCI)急性ST段抬高性心肌梗死(STEMI)的有效性和安全性。方法 2010年1月—2011年12月我院收治的409例诊断明确、有急诊PCI适应症的STEMI住院患者,分为桡动脉组(213例)与股动脉组(196例)。观察两组手术成功率、手术时间和术后血管并发症发生率。结果两组患者PCI成功率无统计学意义(96.71%vs 97.44%,P>0.05)。桡动脉组假性动脉瘤、迷走反射发生率显著低于股动脉组。结论经桡动脉途径急症PCI治疗STEMI患者是一种安全、有效和可行的方法,与股动脉途径比较,经桡动脉途径可减少并发症的发生。
Objective To investigate the efficacy and safety of transradial radial artery in the treatment of acute ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI). Methods From January 2010 to December 2011, 409 patients with STEMI hospitalized with definite diagnosis and emergency PCI indications were divided into radial artery group (213 cases) and femoral artery group (196 cases). The success rate of operation, operation time and incidence of postoperative vascular complications were observed. Results The success rate of PCI in the two groups was not statistically significant (96.71% vs 97.44%, P> 0.05). Radial artery pseudoaneurysm, the incidence of vagal reflex was significantly lower than the femoral artery group. Conclusion Transradial approach to emergency PCI for STEMI patients is a safe, effective and feasible method. Compared with the femoral artery approach, transradial approach can reduce the incidence of complications.