经桡动脉穿刺老年冠状动脉成形术76例临床分析

Clinical study on transradial coronary angioplasty in elderly patients

为探讨经桡动脉穿刺老年冠状动脉成形术的安全性及成功率 ,设老年组 (76例 )和对照组 (15 4例 )进行比较。结果老年组桡动脉穿刺及插管成功率为 94.7% ,冠脉成形术成功率为 93.3% ,并发症发生率为 5 .3% ;对照组分别为 97.4%、94.1%、5 .2 % ,两组间均无显著性差异 (P>0 .0 5 )。其手术时间、X线照射时间及造影剂用量分别为 30 .5± 12 .5与 2 9.5± 11.6 min、2 0 .6± 5 .8与 19.3± 7.5 min、90 .8± 2 0 .3与 89.4± 2 1.9ml,两组之间均无显著差异 (P>0 .0 5 )。提示对于桡动脉搏动好、Allen试验无缺血、不需要大直径旋磨导管旋磨及定向斑块旋切技术治疗的老年患者 ,经绕动脉穿刺冠状动脉成形术安全。

The safety and success rates of transradial coronary angioplasty were studied in elderly patients The patients were divided into elderly group(76cases)and control group(154cases) Results showed the artery puncture and cannulations success rates(94 7%vs 97 4%;P>0 05),the angioplasty success rates (93 3%vs 94 1%;P>0 05),and the complications(5 3% vs 5 2%;P>0 05)had no differ between two groups Procedure related variables including procedure time (30 5±12 5min) vs29 5±11 6min;P>0 05),fluoroscopy time(20 6±5 8min vs19 3±7 5min;P>0 05),and amount of radiographic contrast(90 8±20 3ml vs89 4±21 9ml;P>0 05)were also similar between two groups This suggested that the transtradial coronary angioplasty can be performed safely and successfully in selected elderly patients