经股动脉途径行经皮冠脉介入(PCI)是介入治疗的常用和经典途径,但对于有严重股髂动脉粥样硬化病变、使用了高效抗凝剂、在溶栓治疗后、不能平卧和老年患者,尤其是急性心肌梗死易发生急性心力衰竭导致不能平卧的患者,穿刺部位的血管并发症发生率高,风险大,应用其他穿刺途径势在 Transcutaneous percutaneous coronary intervention (PCI) via the femoral artery is a common and classic approach to interventional therapy. However, for patients with severe iliac artery atherosclerosis, highly effective anticoagulants are used. After thrombolytic therapy, they can not be supine and Elderly patients, especially acute myocardial infarction prone to acute heart failure lead to patients who can not supine, the puncture site of the high incidence of vascular complications, the risk of using other puncture approach