Effect of emergency percutaneous coronary intervention foRacute myocardial infarction by left radial artery approach
10.7619/jcmp.201709020
- VernacularTitle:经左侧桡动脉途径行急性心肌梗死急诊介入治疗的效果
- Author:
Laxi ZHANG
1
;
Jiangtao YAN
;
Zejiang CHEN
Author Information
1. 海南省文昌市人民医院 心内科二区
- Keywords:
radial artery;
coronary heart disease;
percutaneous coronary intervention;
acute myocardial infarction
- From:
Journal of Clinical Medicine in Practice
2017;21(9):78-81
- CountryChina
- Language:Chinese
-
Abstract:
Objective The explore the feasibility of the left radial approach in treatment of patients with acute myocardial infarction by percutaneous coronary intervention.Methods A total of 114 patients with acute myocardial infarction were divided into right radial approach (right side group,n=54) and left radial approach (left side group,n=60).The time of puncture,catheteRin place of coronary artery originating,catheteRsuccess rate of first operation,the choice difference of guide wire,contrast agent dose,radioactive ray′s volume,the success rate and complications of intervention therapy were compared between two groups.Results There were no significant differences in the time of puncture,contrast agent dose,the success rate and complications of intervention therapy between two groups,but there was no significant difference in the choice of guide wire between two groups.The contrast catheteRtime and success rate of catheteRplacement in the left radial artery group were higheRthan the right radial artery group.There were no significant differences in the total amount of contrast agent,the success rate of interventional treatment and complications between the two groups,but the total amount of radiation exposure in the left radial artery group was less than the right radial artery group.Conclusion The left radial approach is a safe and effective way in treatment of patients with acute myocardial infarction underwent percutaneous coronary intervention.
