经桡动脉冠状动脉介入治疗在低体重患者中的应用

The application of the transradial approach for percutaneous coronary intervention in patients with light weight

目的探讨在低体重患者中经桡动脉行经皮冠状动脉介入治疗(PCI)的有效性和安全性。方法住院行PCI的患者301例,分为低体重组(体重<60kg)126例和非低体重组(体重≥60kg)175例,记录两组手术情况和随访6个月主要不良心脏事件。结果与非低体重组相比,低体重组血管穿刺一次成功率较低(P<0.005),穿刺时间较长(P<0.05)。两组血管穿刺总成功率、手术成功率、手术时间、X线曝光时间、造影剂用量、血管相关并发症发生率和随访6个月时主要不良心脏事件发生率相似,差异均无统计学意义(P>0.05)。结论在低体重患者中经桡动脉行PCI有效可行,安全性高。

Objective To investigate the efficacy and safety of transradial approach for pereutaneous coronary intervention（PCI） in patients with light weight. Methods 301 patients undergoing PCI via radial approach in the hospital were divided into two groups,with 126 cases with light weight（ 〈60 kg） in group A and 175 cases with normal weight（ ≥60 kg） in group B. The data of operation and major adverse cardiac events（MACE） was recorded and analyzed statistically. Results The achievement ratio of the first punc.ture was lower（ P 〈 0.005 ） and the time of puncture was longer（ P 〈 0. 05 ） in group A than that of group B. But the total achievement ratio of the puncture and the operation, the time of operation, the time of X-ray exposure, the close of contrast medium, complications and MACE were similar in the two groups （ P 〉 0.05 ）. Conclusion PCI via radial approach is effective and safe in treating patients with light weight.