Application of different guide wire in transradial coronary angiography
10.3969/j.issn.1008-0074.2014.03.31
- VernacularTitle:不同导引导丝在经桡动脉径路冠状动脉造影中的应用
- Author:
Guodong LIU
;
Wanshi WU
;
Qing JIANG
;
Yun XU
;
Haizhen WANG
;
Huaili WANG
- Publication Type:Journal Article
- Keywords:
Coronary angiography;
Radial artery;
Guide wire
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2014;23(3):333-335,336
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore influence of different guide wire on transradial coronary angiography (CAG). Methods:A total of 238 patients,who received successful transradial CAG in our hospital from Nov 2009 to Jan 2013,were selected.According to kinds of guide wire,they were divided into group A (n=119,used ordinary J type exchange guide wire)and group B (n=119,used loach exchange guide wire.Trafficability,supporting force and incidence rate of complications were compared between above two groups.Results:The trafficability of loach exchange guide wire was significantly better than that of ordinary J type exchange guide wire,the pass rates of elbow joint (98.3% vs.87.4%)and brachiocephalic trunk (100% vs.96.2%)were significantly higher than those of or-dinary J type exchange guide wire (P<0.01 or <0.05).For guide wire support to rotate catheter,ordinary J type exchange guide wire had obvious advantages,its success rate of left CAG (98.3%)was significantly higher than that of loach exchange guide wire (89.1%),P<0.01.There were no significant differences in incidence rate of compli-cations between two groups.Conclusion:Ordinary J type exchange guide wire could be preferred in coronary angiog-raphy,and loach exchange guide wire can be considered if the former can't pass.
