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经桡动脉途径行心肌梗死急诊介入治疗安全性及疗效探讨 被引量：6

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摘要 目的:探讨ST段抬高型急性心肌梗死经桡动脉途径行急诊冠状动脉介入治疗的疗效和安全性。方法:选择急诊介入治疗心肌梗死患者353例。经桡动脉途径190例,经股动脉途径163例。按常规行梗塞相关冠状动脉介入治疗。结果:经桡动脉途径介入治疗成功率为98%,与经股动脉途径(97%)比较,差异无统计学意义(P>0.05)。经桡动脉途径局部并发症发生率显著低于经股动脉途径。结论:经桡动脉途径行急诊冠状动脉介入治疗是安全有效的。
作者 苑广梅 冯毅 马根山 沈成兴 汤成春 戴启明
机构地区 东南大学附属中大医院心内科
出处 《东南大学学报（医学版）》 CAS 2010年第6期670-672,共3页 Journal of Southeast University(Medical Science Edition)
关键词 急性心肌梗死 经桡动脉途径 急诊冠状动脉介入治疗 安全性 疗效
分类号 R542.22 [医药卫生—心血管疾病] R454.9 [医药卫生—治疗学]
  • 相关文献

参考文献7

  • 1KIM J Y,YOON J,JUNG H S,et al.Feasibility of the radial artery as a vascular access route in performing primary percutaneous coronary intervention[J].Yonsei Med J,2005,46:503.
  • 2SAITO S,IKEI H,HOSOKAWA G,et al.Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention[J].Catheter Cardiovasc Interv,1999,46:173.
  • 3RAO S V,COHEN M G,KANDZARI D E,et al.The transradial approach to percutaneous coronary intervention:historical perspective,current concepts,and future directions[J].J Am Coll Cardiol,2010,55(20):2187-2195.
  • 4ARZAMENDI D,LY H Q,TANGUAY J F,et al.Effect on bleeding,time to revascularization,and one-year clinical outcomes of the radial approach during primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction[J].Am J Cardiol,2010,106(2):148-154.
  • 5许贤德,冯毅,马根山,沈成兴,汤成春,罗丹,戴启明,陈忠.经桡动脉途径行急性心肌梗死急诊冠状动脉介入治疗的可行性[J].现代医学,2009,37(1):26-28. 被引量：4
  • 6CRUDEN N L,THE C H,STARKRY I R,et al.Reduced vascular complications and length of stay with transradial rescue angioplasty for acute myocardial infarction[J].Catheter Cardiovasc Interv,2007,70:670-675.
  • 7王小斌,朱莉,殷屹岗,王如珠,林杰,李建民,张宜生,黄海.急性心肌梗死患者经桡动脉途径行急诊PCI疗效观察[J].实用临床医药杂志,2010,14(4):47-48. 被引量：16

二级参考文献11

  • 1Hildick-Smith D J, Walsh J T, Lowe M D, et al. Transradial coronary angiography in patients with contraindications to the femoral approach : an analysis of 500 cases [ J ]. Catheter Cardiaovase Interv ,2004,61 ( 1 ) :60-66.
  • 2Agostoni P, Biondi-Zoccai G G, de Benedictics M L, et al. Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures;Systematic overview and meta-analysis of randomized trials [ J ]. J Am Coll Cardial, 2004, 44(2) :349-356.
  • 3Montalescot G , Barragan P, Wittenberg O, et al. Platelet glycoprotein Ⅱb/Ⅲa inhibition with coronary stenting for acute myocardial infarction [ J ]. N Engl J Med, 2001, 344 ( 25 ) : 1895-1903.
  • 4Tron C, Koning R, Ehchaninoff H, et al. A randomized comparison of a pereutaneous suture device versus manual compression for femoral artery hemostasis after PTCA [ J ]. J Interv Cardiol , 2003,16(3) :217-221.
  • 5KimJ Y,Yoon J,Jung H S,et al. Feasibility ofthe radial artery as a vascular access route in performing primary percutaneous coronary intervention [ J ]. Yonsei Med J, 2005, 46 ( 4 ) : 503-510.
  • 6Louvard Y,Ludwig J,Lefevre T,et al.Transradial approach for coronary angiop lasty in the setting of acute myocardial infarction:a dual-center registry[J].Catheter Cardiovasc Interv,2002,55(2):206.
  • 7Archbold R A,Robinson N M,Schilling R J.Radial artery access for coronary angiography and percutaneous coronary intervention[J].B M J,2004,329(7463):443.
  • 8Kim J Y,Yoon J,Jung H S,et al.Feasibility of the radial artery as a vascular access route in performing p rimary percutaneous coronary intervention[J].YonseiMed J,2005,46(4):503.
  • 9Saito S,Ikei H,Hosokawa G,et al.Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention[J].Catheter Cardiovasc interv,1999,46(2):173.
  • 10Montalescot G,Barragan P,Wittenberg O,et al.Platelet Glycoprotein Ⅱb/Ⅲa Inhibition with Coronary Stenting for Acute Myocardial Infarction[J].N Engl J Med,2001,344(25):1895.

共引文献16

同被引文献82

  • 1YAN Hong-bing WANG Jian LI Nan ZHU Xiao-ling GAO Hai AI Hui LI Xiang YE Ming CHI Yun-peng ZHANG Hong.Diver CE versus Guardwire Plus for thrombectomy in patients with inferior myocardial infarction:a trial of aspiration of thrombus during primary angioplasty for inferior myocardial infarction[J].Chinese Medical Journal,2007(7):557-561. 被引量：29
  • 2Dobesh PP, Trujillo TC. Anticoagulation in the Man- agement of ST-Segment Elevation Myocardial Infarction [J]. J Pharm Pract, 2010 ,23(4):335- 43.
  • 3Lee HY, Kim JH, Kim BO, et al. Effect of Aspiration Thrombectomy on Microvascular Dysfunction in ST- Segment Elevation Myocardial Infarction With an Ele va*ed Neutrophil Count[J]. Korean Circ J,2011 ,41 (2) :68--75.
  • 4Kelly AM. Performance of a sensitive troponin assay in the early diagnosis of acute myocardial infarction in the emergency department [J]. Emerg Med Australas, 2011,23(2):181- 185.
  • 5Alhadi HA, Fox KA. Validity of Cardiac Markers as Diagnostic and Prognostic Indicators of Complications in Patients undergoing Percutaneous Coronary Interven- tion[J]. Sultan Qaboos Univ Med J, 2010 , 10 (1) : 31- 40.
  • 6KASTRAFI A, MEHIILL J, NEUMMM F J, et al. Abelximab in patients with acute coronary syndromes undergoing percutaneons coronary intervention after elopidogrel pretreatment:the- ISAR2REACT randomized trial[J]. JAMA 2006,295 ( 13 ) : 1531-1538.
  • 7HONG S N, AHN Y, HWANG S H, et al. Usefulness of preprocedural N-terminal pro-brain natriuretic peptide in predicting angiographic no-reflow phenomenon during stent implantation in patients with ST-segment elevation acute myocardial infarction circulation[J].Am J Cardiol, 2007,100(4) :631-634.
  • 8THIELE H, SCHINDLER K, FRIEDENBERGE J, et al. Intracoronary vs intravenous bolus abciximab application in patients with ST-elevation myocardial infarction undergoing primary coronary intervention. The randomized leipzig immediate percutaneous coronary intervention abciximab versus in ST-elevation myocardial infarction trial ( LIPSIAbciximab- STEMI ) [ J]. J Circulation,2007,116 :II-673.
  • 9LIMHMNO U, de CATERINA R. EMERALD, AIMI and PROMISE: is there still a potential for embolic protection in primary PCI? [J]. Eur Heart J,2006,27:1139-1145.
  • 10Xu Qingbo, Chen Jieshan, Ye Haipeng, et al. Interventional treat- ment via radial artery pathway emergency clinical analysis of 102 cases of acute myocardial infarction [ J ]. Journal of guangdong medical college,2009,11 (4) : 354-355.

引证文献6

二级引证文献19

东南大学学报（医学版）
2010年 第6期

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