经桡动脉与股动脉穿刺行冠状动脉介入治疗的临床观察

Coronary intervention by transradial and transfemoral approaches

目的观察经桡动脉与股动脉穿刺行经皮冠状动脉介入治疗（PCI）的临床特点。方法共选择PCI患者218例，其中桡动脉组106例，股动脉组112例，比较两组患者的穿刺时间、PCI操作时间、x线曝光时间、对比剂用量、术中冠状动脉并发症及术后局部并发症。结果两组X线曝光时间、造影剂用量、术中冠状动脉并发症比较差异无统计学意义（P〉0．05）；与股动脉组相比，桡动脉组穿刺时间、PCI操作时间较长（P〈0．05），局部并发症明显少于股动脉组（P〈0．01）。结论经桡动脉PC／是安全可行的，可作为择期PCI的首选介入径路。

Objective To observe the clinical features of percutaneous coronary intervention （PCI） by transradial and transfemoral approaches. Methods Two hundred and eighteen patients underwent PCI were divided into two groups, 106 cases of transradial group, 112 cases of transfemoral group. The time of puncture and PCI operation, X - ray exposure time, dosage of contrast media, coronary artery and regional complications were compared between the two groups. Results The time of puncture and PCI operation of transradial group was longer than the transfemoral group（ P 〈 0.05 ） , while the regional complications was less than the latter（ P 〈 0.01 ）. Conclusions PCI by transradial is safe and feasible, it can be used as the first choice of elective PCI.