经桡动脉急诊介入治疗ST段抬高急性心肌梗死

Feasibility and Safety of Transradial Percutaneous Coronary Intervention for ST-segment Elevation Myocardial Infarction

目的观察经桡动脉途径行急诊经皮冠脉介入(PCI)治疗ST段抬高的急性心肌梗死(STEMI)患者临床疗效及可行性。方法选择确诊的因STEMI行急诊PCI治疗的患者225例,其中经桡动脉治疗组123例,经股动脉治疗组102例。分析比较两组患者介入治疗的成功率、疗效和术后并发症的发生率。结果两组患者在年龄、性别、体重指数、冠心病危险因素、心肌梗死的部位、血管病变的位置、严重程度等方面比较无统计学意义;股动脉组PCI成功率为92.3%,桡动脉组为94.3%,两组间无统计学意义(P>0.05);桡动脉组术后并发症发生率(6.5%)明显低于股动脉组(15.7%,P<0.05);平均住院时间及住院期间主要心血管事件发生率两组间无统计学意义。结论经桡动脉途径行急诊介入治疗STEMI与经股动脉途径PCI成功率相似,而术后并发症少。

Objective To investigate the feasibility and safety of transradial percutaneous coronary intervention(PCI)for ST-segment elevation myocardial infarction(STEMI).Methods Two hundreds and twenty-five patients(pts) with identified STEMI were randomly divided into transradial group(n=123) and transfemoral group(n=102).Successful PCI ratio,the efficacy and post-operational complication were recorded and analyzed.Results There was no significant difference between the two groups in the age,gender,body mass index,coronary risk factors,territory of myocardial infarction,culprit vessels and vascular stenosis degree.The successful PCI ratio in transradial group and transfemoral group were 94.3% and 92.3% respectively,(P>0.05).The incidence of post-operational complication in transradial group(6.5%) was lower than that in transfemoral group(15.7%,P<0.05).There was no significant difference in hospital stay days and the in-hospital main cardiovascular events.Conclusion Transradial percutaneous coronary intervention for STEMI was feasible and safe,which had the similar achievement ratio transfemoral PCI and lower post-procedural complication.