经皮桡动脉入路直接冠状动脉介入治疗急性心肌梗死

被引：22

作者：

肖华

李志粱

陈爱华

宋旭东

傅强

缪绯

刘映峰

机构：

[1] 南方医科大学附属珠江医院心血管内科

来源：

第二军医大学学报 | 2007年 / 02期

基金：

广东省科技计划;

关键词：

经皮桡动脉入路; 经皮股动脉入路; 心肌梗死; 冠状动脉介入治疗;

D O I：

10.16781/j.0258-879x.2007.02.015

中图分类号：

R542.22 [];

学科分类号：

摘要：

目的探讨经皮桡动脉入路介入治疗在急性心肌梗死中的应用。方法急性心肌梗死患者107例,其中56例行直接经皮桡动脉入路冠状动脉介入(PCI)治疗(A组),51例行直接经皮股动脉入路PCI(B组),比较两组的穿刺成功率、PCI成功率、血管开通时间、手术总时间、穿刺点并发症。结果A、B两组穿刺成功率均为100%,PCI成功率均大于96%,鞘管置入时间[(2.93±0.42)vs(3.07±0.54)min,P=0.14]、血管再通时间[(17.23±3.47)vs(16.81±4.86)min,P=0.61]、手术总时间[(47.04±7.53)vs(48.74±6.22)min,P=0.21]等差异均无统计学意义。B组穿刺点局部出血、血肿发生率(5/51,P=0.0164)及拔管迷走反射(4/51,P=0.0327)均明显高于A组(0/56)。结论经皮桡动脉入路介入治疗行急诊PCI是安全可行的,而且能减少穿刺点并发症。

引用

页码：175 / 178

页数：4

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