经尺动脉行冠脉介入的临床研究

The Clinical Research of Percutaneous Coronary Intervention through Transulnar Approach

目的探讨经尺动脉径路行冠状动脉介入治疗的可行性及安全性。方法入选经尺动脉径路行冠脉介入者15例(尺动脉组),及同期经桡动脉径路手术者15例(桡动脉组),两组均符合冠脉造影适应征,尺动脉穿刺方法、导管选择和操作手法基本同经桡动脉法,比较两组穿刺时间、冠脉造影时间、穿刺成功率及并发症发生率。结果两组冠脉造影时间、穿刺成功率差异无统计学意义(>0.05),尺动脉组1例患者穿刺部位出现瘀斑,与桡动脉组比较,并发症发生率差异无统计学意义(>0.05)。结论经尺动脉行冠脉介入术安全可行,并发症少,值得在临床实践中进一步推广应用。

Objective To evaluate the feasibility and safety of coronary angiography and stenting through the path of ulnar artery.Methods 15 patients were selected into ulnar artery group.And another15 cases were selected into radial artery group in the same period,patients were tal y with indication of coronary angiography.Trans-ulner approach for coronary anglography with transradial one is similar in the artery puncture approach,the catheter selection,and operation.The acupuncture time of artery,CAG time,the success rate of ulnar acupuncture and complication rate were recorded.Results There were no dif erences in success rates of puncture,GAG time and complication rate between the 2 groups(>0.05).Conclusion Trans-ulner approach to coronary angiography and PCI were feasible and safety,and may be widely used in clinical practice.