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经桡动脉和股动脉途径行复杂冠状动脉病变介入术的临床比较
引用本文:钱志宏,何国平,杨丽萍,周惠芬,李银福.经桡动脉和股动脉途径行复杂冠状动脉病变介入术的临床比较[J].现代医药卫生,2011,27(8):1141-1143.
作者姓名:钱志宏  何国平  杨丽萍  周惠芬  李银福
作者单位:1. 溧阳市人民医院,江苏,溧阳,213300
2. 江苏大学附属武进医院,江苏,常州,213302
摘    要:目的:探讨经桡动脉和经股动脉两种途径行复杂冠状动脉介入术治疗成功率和并发症及两种途径的利弊.方法:选择100例复杂冠状动脉病变的冠心病患者经桡动脉途径行介入治疗(A组)、100例有相似病变特征患者经股动脉途径行介入治疗(B组),观察两组治疗过程、手术成功率、术中、术后并发症等情况.结果:A组穿刺时间明显长于B组,但穿刺成功率、完成造影时间及总手术时间无差异;A组完成手术更换途径显著高于B组;两组手术成功率、造影剂量、X线曝光时间无差异;术中、术后手术并发症发生率、术后卧床时间A组明显少于B组.结论:冠状动脉复杂病变介入术,与经股动脉相比,经桡动脉途径具有较高的成功率,相似的临床效果,但手术并发症发生率低,桡动脉途径行复杂病变有可行性和安全性.

关 键 词:冠状动脉复杂病变  经皮冠状动脉介入治疗  股动脉途径  桡动脉途径

Comparison of radial and femoral approaches in percutaneous complex coronary intervention
QIAN Zhi-hong , HE Guo-ping , YANG Li-ping , ZHOU Hui-fen , LI Yin-fu.Comparison of radial and femoral approaches in percutaneous complex coronary intervention[J].Modern Medicine Health,2011,27(8):1141-1143.
Authors:QIAN Zhi-hong  HE Guo-ping  YANG Li-ping  ZHOU Hui-fen  LI Yin-fu
Affiliation:QIAN Zhi-hong1,HE Guo-ping2,YANG Li-ping2,ZHOU Hui-fen2,LI Yin-fu1
Abstract:Objective:To compare the success rates and complications of complex coronary intervention via transradial artery and transfemoral artery approaches in the patients with complex coronary diseases and to assess the feasibility and safety of two pathways.Methods:One hundred cases of complex coronary heart disease were selected for transradial coronary angioplasty(A group).The therapy process and procedure success rate and complications were recorded and compared with the results of transfemoral angioplasty in ...
Keywords:Complex coronary artery  Percataneous coronary intervention  Transradial coronary angioplasty  Transfemoral artary access  
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