心脏瓣膜病患者经桡动脉、股动脉行冠状动脉联合左内乳动脉造影对比研究

Comparison of transradial and transfemoral approaches in coronary angiography combined with internal mammary artery angiography in patients with cardiac valvular disease

目的探讨经左侧桡动脉路径行冠状动脉联合左内乳动脉造影的可行性及安全性。方法选取心脏瓣膜病患者66例,按随机数字表法分为桡动脉组及股动脉组,比较两组患者的血管穿刺成功率、造影成功率、手术操作时间、手术并发症。结果两组患者的血管穿刺成功率、冠状动脉造影成功率、手术操作时间比较,差异无统计学意义(P>0.05),而两组的左内乳动脉造影成功率、手术并发症发生率、心力衰竭发生率比较,差异有统计学意义(P<0.05)。结论经左侧桡动脉路径与经股动脉路径比较,具有并发症少、造影成功率高、术后心力衰竭发生率低等优势,心脏瓣膜病患者经左侧桡动脉行冠状动脉联合左内乳动脉造影安全有效。

Objective To study the feasibility and safety of coronary angiography and internal mammary artery angiography by tran- sradial approach. Methods A total of 66 patients with cardiac valvular disease were randomly divided into two groups ： radial group and femoral group. Artery puncture success rate, coronary angiography success rate, operation time and complications were com- pared between the two groups. Results There were no statistically significant differences in artery puncture success rate, coronary angiography success rate and operation time between the two groups （P 〉 0.05 ）. However, radial group had higher internal mam- mary artery angiography success rate, fewer complications and lower cardiac failure incidence rate than femoral group （ P 〈 0.05 ）. Conclusion Radial group has higher internal mammary artery angiography success rate, fewer complications and lower cardiac fail- ure incidence rate than femoral group. Transradial approach to coronary angiography and internal mammary artery angiography is safe and effective.