Current Application Status of Artery Access in Percutaneous Coronary Intervention and Their Impact on Long-term Prognosis in Relevant Patients: A single Center Experience in 10577 Patients
10.3969/j.issn.1000-3614.2017.10.008
- VernacularTitle:动脉穿刺路径在冠状动脉介入治疗中的应用现状及对预后的影响:单中心10557例患者经验
- Author:
jun Lian XU
1
;
Ying SONG
;
jing Jing XU
;
Zhan GAO
;
fang Xiao TANG
;
huan Huan WANG
;
Ru LIU
;
Ping JIANG
;
Lin JIANG
Author Information
1. 中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院 心内科
- Keywords:
Angioplasty;
transluminal;
percutaneous coronary;
Femoral artery;
Radial artery
- From:
Chinese Circulation Journal
2017;32(10):965-969
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the application status of trans-femoral route (TFR) and trans-radial route (TRR) percutaneous coronary intervention (PCI) via a single center large sample 2-year follow-up study and to evaluate their impact on long-term prognosis in relevant patients. Methods: A total of 10577 patients received PCI by TFR or TRR in our hospital during 2013 were analyzed. The patients were divided into two groups: TRR group, n=9745 (90.9％) and the TFR group, n=812 (7.6％). Clinical features were compared between 2 groups and their impacts on prognosis were studied. Results: Compared with TRR group, TFR group had more patients with elder age, more female, diabetes, more with the histories of myocardial infarction (MI), PCI or CABG, all P<0.001; more patients with left main disease or 3-vessel lesions, all P<0.001. Logistic regression analysis indicated that female, age, histories of MI, PCI or CABG and left main disease were the predictors for choosing TFR. With propensity score matching, TFR group had the higher in-hospital mortality than TRR group, P<0.05. 2-year follow-up Kaplan-Meier survival analysis showed that the end point events were similar between 2 groups. Cox multivariate analysis found that TFR was an independent risk factor of BARC ≥ 2 bleeding (HR=2.210, P=0.013), while not an independent risk factor for main cardiac end point events. Conclusion: ① Female, elder age, histories of MI, PCI or CABG and left main disease were the predictors for choosing TFR. ② The in-hospital mortality was higher in TFR PCI. ③ TFR was an independent risk factor of BARC≥2 bleeding, while it had no impact on long-term prognosis in PCI patients.
