不同途径介入治疗急性心肌梗死的对照研究

被引：10

作者：

丁澍

严金川

陈小节

李璇

孙涛

李权

机构：

[1] 江苏大学附属医院心内科

来源：

东南大学学报(医学版) | 2012年 / 31卷 / 01期

关键词：

急性心肌梗死; 桡动脉; 股动脉; 冠状动脉介入; 血管并发症;

D O I：

暂无

中图分类号：

R541.4 [冠状动脉（粥样）硬化性心脏病（冠心病）];

学科分类号：

摘要：

目的:比较不同途径急诊经皮冠状动脉介入治疗(PCI)对ST段抬高的急性心肌梗死的安全性和有效性。方法:收集254例发病≤12 h的ST段抬高的急性心肌梗死患者的临床资料,比较经桡动脉急诊PCI(TRA组,n=182)与经股动脉急诊PCI(TFA组,n=72)患者的手术操作、住院情况以及随访期主要不良心脏事件(MACE)发生率。结果:两组穿刺成功率、穿刺至首次球囊扩张时间、手术成功率、住院和随访期间MACE发生率差异均无统计学意义(P>0.05)。TRA组手术时间短[(36.1±16.3)min vs(40.5±15.1)min,P=0.049),依从性高(81.9%vs 26.4%,P<0.005),血管并发症明显减少(5.5%vs 34.7%,P<0.005),住院时间缩短[(9.2±3.0)d vs(10.8±4.2)d,P=0.003]。结论:在强化抗栓条件下,相对于股动脉途径,急诊经桡动脉PCI有相似的有效性及安全性,且并发症和住院日更少。

引用

页码：60 / 62

页数：3

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