Clinical therapeutic effect of transradial emergency PCI in 50 patients with acute myocardial infarc-tion
10.3969/j.issn.1008-0074.2014.03.32
- VernacularTitle:50例急性心肌梗死患者经桡动脉行急诊PCI的疗效
- Author:
Lu QIAN
- Publication Type:Journal Article
- Keywords:
Myocardial Infarction;
Angioplasty,transluminal,percutaneous coronary;
Radial artery
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2014;23(3):336-338
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the salvage effect of transradial emergency percutaneous coronary intervention (PCI)on patients with acute myocardial infarction (AMI).Methods:A total of 100 AMI patients,who hospitalized in our hospital from Feb 2009 to Jun 2013 and received PCI treatment,were randomly selected as subjects.They were divided into transfemoral artery intervention group (TFA group,n=50)and transradial artery intervention group (TRA group,n=50)according to random number method.Door-to-balloon time,operation duration,expo-sure time of X-ray,pressing time of puncture point,length of hospital stay,success rate of operation and incidence rate of complications were compared between two groups.Results:There were no significant difference in operation duration and success rate of operation between two groups (P>0.05);compared with TFA group,there were sig-nificant reductions in pressing time of puncture point [(14.8±5.7)min vs.(3.9±1.6)min]and incidence rate of complications (16.0% vs.4.0%),and significant rise in door-to-balloon time [(18.7±5.6)min vs.(20.1±6.7) min],exposure time of X-ray [(16.7±5.6)min vs.(22.1±6.7)min]in TRA group,P<0.05 or<0.01.Con-clusion:Compared with transfemoral coronary intervention,the pressing time of puncture point of transradial inter-vention therapy and complication are less,so it can be used as preferred therapeutic method for acute myocardial in-farction,and especially more suitable for primary hospitals.
