不同长度超滑泥鳅导丝在经桡动脉冠脉介入诊疗中比较

Different Length Super Smooth Guide Wire in Transradial Coronary Intervention Incomparison

目的比较1.8 m长及2.6 m长超滑泥鳅导丝在经桡动脉冠脉介入(TRI)诊疗中效果。方法入选我院行经桡动脉冠脉介入包括冠状动脉造影、冠脉PTCA及PCI术患者1 081例;随机分为A、B两组,A组为应用1.8 m泥鳅导丝组,B组为应用2.6 m泥鳅导丝组。通过对比手术时间、X线曝光时间、并发症、急诊患者门球时间来评估两者优劣。结果 B组在手术持续时间及X线曝光时间短于A组,并发症少,尤其发生前臂血肿减少;急诊患者门球时间稍有缩短。结论 2.6 m超滑泥鳅导丝在经桡动脉介入诊疗中优于1.8 m超滑泥鳅导丝。

Objective To compare the 1.8 meters super smooth guide wire to 2.6 meters super smooth guide wire in TRI.Methods A total of 1 081 patients admitted in our hospital for transradial intervention included Coronary arteriongraphy,Percutaneous transluminal coronary angioplasty and Percutaneous coronary artery stent implanttation.It was randomly divided into AB group.A group used conventional 1.8 meters smooth guide wire,in group B,2.6 meters of smooth guide wire.To assess the merits of both by comparing the Operation time.X-ray exposure time,Complications and Doorto-balloon time of emergency patients.Results B group in the operation time and X-ray exposure time shorter to A group,fewer complications,especially forearm hematoma decreased significantly,emergency patients door-to-balloon time slightly shortened.Conclusion 2.6 meters super smooth guide wire is superior to 1.8 meters super smooth guide wire in TRI.