无鞘7 F普通导引导管经桡动脉介入治疗冠状动脉病变临床效果

发布时间：2018-06-04 22:17

本文选题：无鞘技术 + 桡动脉　；参考：《介入放射学杂志》2017年04期

【摘要】：目的比较经桡动脉无鞘7 F普通导引导管和常规6 F鞘导引导管治疗冠状动脉病变的有效性和安全性。方法回顾性分析2014年1月至2015年6月连续接受经皮冠状动脉介入治疗(PCI)手术的160例冠状动脉病变患者临床资料。随机分为无鞘组(n=80)和有鞘组(n=80),比较两种方法的导引导管到位、桡动脉创口压迫时间、止血成功、桡动脉痉挛、桡动脉术后血管直径、远端肿胀消退时间、前臂疼痛或不适、前臂血肿、假性动脉瘤、桡动脉闭塞、皮肤缺血坏死等。结果无鞘组、有鞘组术中发生桡动脉痉挛分别为9例、2例,前臂疼痛或不适分别为7例、1例,差异均有统计学意义(P0.05)。两组导引导管到位、桡动脉创口压迫时间、前臂血肿、止血成功、桡动脉术后直径、桡动脉闭塞及皮肤缺血坏死间差异均无统计学意义(P0.05)。结论与常规6 F鞘导引导管相比,桡动脉无鞘7 F普通导引导管治疗冠状动脉病变安全有效。
[Abstract]:Objective to compare the efficacy and safety of transradial unsheathing 7 F guiding catheter and 6 F sheath guided catheter in the treatment of coronary artery disease. Methods the clinical data of 160 patients with coronary artery disease underwent percutaneous coronary intervention (PCI) from January 2014 to June 2015 were retrospectively analyzed. The two groups were randomly divided into two groups: the unsheathing group and the sheathed group. The guiding catheter was in place, the compression time of the radial artery wound, the successful hemostasis, the spasm of the radial artery, the diameter of the radial artery after operation, the time of distally swelling and receding, pain or discomfort in the forearm were compared. Forearm hematoma, pseudoaneurysm, radial artery occlusion, skin necrosis and so on. Results there were 9 cases of radial artery spasm and 1 case of forearm pain or discomfort in the unsheathing group and the sheathing group respectively. The difference was statistically significant (P 0.05). There was no significant difference between the two groups in guiding catheter, compression time of radial artery wound, hematoma of forearm, successful hemostasis, diameter of radial artery, occlusion of radial artery and ischemic necrosis of skin. Conclusion compared with conventional 6 F sheathing guide catheter, 7 F unsheathed radial artery guided catheter is safe and effective in the treatment of coronary artery disease.
【作者单位】：南京医科大学第二附属医院心血管内科;
【分类号】：R543.3

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