Comparison and clinical application value of radial versus brachial artery approach in interventional treatment of acute myocardial infarction
10.3969/j.issn.1009-0126.2025.09.014
- VernacularTitle:急性心肌梗死介入治疗中桡动脉与肱动脉入路的对比研究及临床应用价值
- Author:
Jian SONG
1
;
Xibing WANG
;
Haiyan YU
;
Jiamei LIU
;
Ying ZHANG
Author Information
1. 067000 承德医学院附属医院心脏内科
- Publication Type:Journal Article
- Keywords:
myocardial infarction;
radial artery;
brachial artery;
treatment outcome
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2025;27(9):1199-1202
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of PCI with radial artery approach and bra-chial artery approach in acute myocardial infarction(AMI).Methods A retrospective analysis was performed on 173 AMI patients undergoing PCI in Department of Cardiology of Affiliated Hospi-tal of Chengde Medical College from September 2022 to September 2024.According to surgical ap-proach,they were divided into the radial artery group(97 cases)and the brachial artery group(76 cases).The X-ray exposure rate,puncture time,operation time and total hospital stay were observed in the two groups,and the puncture success rate,postoperative complication rate and incidence of 30-day cardiovascular adverse events were compared between the two groups.Results There were statistical differences in puncture time,operation duration and length of hospital stay between the two groups(P＜0.05,P＜0.01).The brachial artery group had a higher puncture success rate than the radial artery group(94.7％vs 90.7％,P=0.390),while the radial artery group had a higher incidence of postoperative complications,adverse vascular events due to coro-nary heart disease(P＜0.05,P＜0.01).Conclusion Both radial artery approach and brachial artery approach for PCI can effectively treat AMI patients.Compared with transradial approach,transbrachial approach can effectively improve the success rate of surgery,reduce postoperative complications and the occurrence of cardiovascular adverse events within 30 d of follow-up.
