经桡动脉行冠状动脉介入治疗高龄急性冠脉综合征患者临床观察

Transradial percutaneous coronary intervention in treating elderly patients with acute syndrome

目的评价经桡动脉行经皮冠状动脉介入（PCI）治疗高龄急性冠脉综合征（ACS）患者的可行性和安全性。方法将76例高龄ACS患者分为经桡动脉途径行PCI治疗组（桡动脉组，36例）与经股动脉途径行PCI治疗组（股动脉组，40例），观察两组手术成功率、操作时间和手术后并发症。结果两组患者接受PCI的成功率、操作时间比较差异无统计学意义，术后桡动脉组出血等并发症明显减少，差异有统计学意义。结论经桡动脉途径行PCI治疗安全、痛苦小，且并发症少，患者容易接受，可作为高龄ACS患者行PCI的首选途径。

Objective To investigate the safety and feasibility of transradial percutaneous coro- nary intervention （PCI） in treating elderly patients with acute coronary syndrome. Methods PCI was performed in 76 elderly patients with acute coronary syndrome. There were 36 cases in transradial PCI （TRA-pPCI） group and 40 cases in transfemoral PCI （TFA-pPCI）group. The success rate, operation time and incidence of postoperative complications were observed. Results There were no significant differ- ences in the successful rates and operation time of PCI between the two groups. However, the complication rate in TRA-pPCI group was decreased significantly than that in TFA-pPCI group. Conclusions Transradial PCI is safe, less painful and with less complications, which is easily accepted by patients, so it should be the first choice for elderly patients with acute coronary syndrome underwent PCI.