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目的评价经桡动脉行冠状动脉造影(CAG)和冠状动脉介入手术治疗(PCI)的有效性和安全性。方法本研究为单中心研究,连续入选南京医科大学第一附属医院2012年8月至2013年7月冠心病或疑诊冠心病患者2845例。所有患者PCI术前行Allen试验。剔除Allen试验异常、心源性休克、透析患者和外国人。结果男性1628例(57.2%),女性1217例(42.8%),平均年龄为(64±8)岁。其中高血压1537例(54.0%)患者,糖尿病501例(17.6%)患者,6例(0.002%)患者既往有冠脉搭桥病史。1416例患者行CAG(49.8%),1429例患者行PCI(50.2%)。CAG和PCI成功率分别为97.6%和96.3%。7例(0.25%)患者出现小血肿,49例(1.7%)患者术后3~4 h桡动脉搏动减弱。结论经桡动脉PCI治疗安全可行,应该作为PCI治疗首选入路。
Objective To evaluate the effectiveness and safety of transradial coronary angiography (CAG) and coronary intervention (PCI). Methods This study was a single center study and was consecutively enrolled in 2845 patients with coronary heart disease or suspected coronary heart disease from August 2012 to July 2013 in the First Affiliated Hospital of Nanjing Medical University. All patients underwent Allen test before PCI. Remove Allen test abnormalities, cardiogenic shock, dialysis patients and foreigners. Results 1628 (57.2%) males and 1217 females (42.8%) had an average age of (64 ± 8) years. There were 1537 patients (54.0%) with hypertension, 501 patients (17.6%) with diabetes, and 6 patients (0.002%) with previous history of coronary artery bypass grafting. 1416 patients underwent CAG (49.8%) and 1429 patients underwent PCI (50.2%). The success rates of CAG and PCI were 97.6% and 96.3% respectively. Seven patients (0.25%) had small hematoma, and 49 patients (1.7%) had weaker pulsatile radial artery 3-4 h after operation. Conclusion Transradial PCI is safe and feasible and should be the first choice for PCI.