Clinical analysis of transradial versus transfemoral approach for percutaneous coronary intervention
10.3760/cma.j.issn.0254-9026.2012.05.009
- VernacularTitle:经桡动脉与股动脉行冠状动脉介入治疗的临床分析
- Author:
Feng HE
;
Huan ZHANG
;
Huanming LI
;
Yong LIU
;
Xiaochun XING
;
Zhikuan LUO
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Magnetic resonance imaging,interventional;
Radial artery;
Femoral artery
- From:
Chinese Journal of Geriatrics
2012;31(5):384-385
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical effect and complication of trans-radial and femoral artery for percutaneous coronary intervention (PCI) in patients with coronary heart disease.Methods Totally 153 patients with coronary heart disease undergoing PCI were divided into radial artery and femoral artery groups.X-ray exposure time,operation time,the success rates of puncture and operation,in-bed time and complication were recorded. Results There were no significant differences in X-ray exposure time[(17±5)min vs.(16±6)min,t=0.61,P=0.57],operation time [(49± 9) min vs. (48 ± 11) min,t=0.59,P =0.61],the success rates of puncture (98.7% vs.100.0%,x2 =0.47,P=0.53) and operation (96.0% vs.96.2%,x2 =0.14,P=0.64) between radial artery and femoral artery groups.However,the complication rates was higher in femoral artery group than in radial artery group (17.9% vs.2.7 %,x2 =9.54,P=0.002),in-bed time was shorter in radial artery group than in femoral artery group [(4.5 ± 1.2)h vs.(13.2 ±4.6)h,t=2.12,P =0.003]. Conclusions The trans-radial artery PCI is safe,effective and feasible,with less complications and shorter in-bed time.