Clinical evaluation of percutaneous coronary intervention treatment via radial artery in the elderly patients with coronary artery disease complicated by chronic left heart failure
10.3760/cma.j.issn.0254-9026.2012.01.018
- VernacularTitle:合并慢性左心衰竭的老年冠心病患者经桡动脉介入治疗的临床评估
- Author:
Liang LU
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Radiology,interventional;
Heart failure artery;
Radial artery
- From:
Chinese Journal of Geriatrics
2012;31(1):54-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical efficacy and safety of pereutaneous coronary intervention (PCI) via radial artery in the elderly patients with coronary heart disease complicated by chronic left heart failure. Methods120 cases with coronary heart disease complicated by chronic left heart were divided into two groups: group via radial artery (RA) (64 cases) and group via femoral artery (FA) (56 cases).The exposure time of X-ray,the time lying in bed after operation and the complication rates were retrospectively analyzed.ResultsThere were 60 cases via RA-and 54 cases via FA-PCI treatment,75 and 63 lesions successfully expanded,including 38 and 36 cases of anterior descending,19 and 12 cases of circumflex branch,18 and 15 cases of right coronary artery,73 and 61 stent implanted in radial artery group and femoral artery group,respectively.The difference of treatment and pathological change between the two groups was not statistically significant.The time from puncture to reset tube was longer,average time lying in bed was shorter,and acute left heart failure less occurred in radial artery group compared with femoral artery group (all P＜0.01).The puncture complications and rates of lower limb deep vein thrombosis,and lung embolism were lower in radial artery group than in femoral artery group (all P＜0.05).The incidence rates of pain in back and loin,dysuresia and abdominal distension were higher in femoral artery group than in radial artery group(P＜0.05).Conclusions PCI shows more advantages via radial artery versus via femoral artery in treatment of the elderly coronary heart disease complicated with chronic left heart failure.
