经桡动脉PCI治疗急性心肌梗死106例的临床观察

Clinical Observation of Percutaneous Coronary Intervention Through Radial Artery for 106 Patients With Acute Myocardial Infarction

目的:探讨急诊经桡动脉PCI治疗急性心肌梗死(AMI)的安全性和可行性。方法:106例AMI患者行急诊经桡动脉PCI治疗,观察经桡动脉途径的成功率和并发症。结果:桡动脉穿刺成功率为99.1%;造影成功率为100%;PCI成功率为99.0%,皮下瘀斑的发生率为3.8%;桡动脉痉挛的发生率为1.0%;前臂血肿的发生率为2.9%;桡动脉闭塞的发生率为1.0%;平均手术时间55±18min;平均术后住院天数5.7±1.6d。结论:急诊经桡动脉PCI治疗AMI安全、可行,经桡动脉穿刺局部并发症少,患者更乐意接受,值得推广。

Objective： To evaluate the safety and feasibility of transradial percutaneous coronary intervention （PCI） in treatment of acute myocardial infarction. Methods： One hundred and six cases with acute myocardial in farction （AMI） were underwent transradial PCI, the successful rate and complications were observed. Results： The successful rate of radial artery puncture was 99. 1%, coronary angiography （CAG） was 100% and PCI was 99%. The incidence of subcutaneous ecchymosis was 3. 8%, radial artery spasm was 1.0%, forearm hematoma was 2. 9% and radial artery occlusion was 1.0%. The average operating time was 55 ± 18 minutes, the average length of postoperative hospital stay was 5.7 ± 1.6 days. Conclusion： Treatment of PCI is safe and feasible in patients with AMI, and it is worthwhile to recommend.