Allen试验异常患者经桡动脉冠脉介入诊治的血管并发症

The vascular complications of transradial coronary angiography and intervention in patients with abnormal Allen test

目的研究经桡动脉冠脉介入诊治中Allen试验异常患者的安全性。方法 2010年7月-2011年11月对315例患者进行经桡动脉冠脉介入诊治,将患者分成两组,试验组96例为Allen试验异常(阴性)者,直接穿刺桡动脉,对照组219例为Allen试验阳性者,行桡动脉穿刺,记录两组穿刺成功率、穿刺时间、压迫时间以及穿刺血管并发症。结果试验组和对照组的穿刺成功率分别为96.9%和6.3%,血管并发症分别为5%和6.2%,两组间差异无统计学意义(P>0.05)。结论 Allen试验异常患者经桡动脉冠脉介入诊治安全,但尚需更大规模的临床试验证实。

Objective To investigate the safety of transradial coronary angiography and intervention in patients with abnormal （negative） Allen test. Methods A total of 315 patients treated with transradial coronary angiography and intervention, who were encountered in the hospital during the period from July to Nov. 2011, were enrolled in the study. According to the results of Allen test, the patients were divided into two groups. Patients in study group （n = 96） had an abnormal （negative） result to Allen test, while patients in control group （n = 219） showed a positive result to Allen test. The success rate of radial artery puncturing, the time used for puncturing, the time for compression hemostasis and the complications of the punctured artery in the two groups were recorded. The results were statistically analyzed. Results The success rates of artery puncturing for the study group and the control group were 96.9% and 6.3% , respectively. The occurrences of the vascular complications in the study group and the control group were 6.5% and 6.2%, respectively. No statistically significant difference in the above mentioned two items existed between the two groups. Conclusion Transradial coronary angiography and intervention can be safely performed in patients with abnormal （negative） Allen test, although more large-scale clinical trials are needed to be conducted in order to further support this analysis.