摘要
目的 探讨经肱动脉穿刺老年冠状动脉成形术的安全性及成功率。方法 老年组 10 6例 ,对照组 172例 ,两组患者均首选经右侧肱动脉穿刺冠状动脉成形术。观察手术成功率、并发症、手术时间、X线照射时间及造影剂用量等。结果 老年组肱动脉穿刺及插管成功率为 93 4% (99/10 6 ) ,冠状动脉成形术成功率为 91 8% (16 8 183) ,并发症发生率为 5 7% (6 /10 6 ) ;对照组肱动脉穿刺及插管成功率为 94 8% (16 3/172 ) ,冠状动脉成形术成功率为 92 6 % (2 6 2 /2 83) ,并发症为 5 8% (10 /172 )。两组间无显著性差异 (P >0 0 5 )。手术时间 (分 )、X线照射时间 (分 )及造影剂用量 (毫升 )分别为 2 9 5±11 6min与 2 8 6± 10 5min、18 8± 5 5min与 18 6± 5 8min、90 6± 2 1 6ml与 90 4± 2 0 8ml,经统计学处理 ,两组之间均无显著差异 (P >0 0 5 )。结论 经肱动脉穿刺老年冠状动脉成形术安全、可行。
Objective To study the safety and the success rates of transbrachial coronary angioplasty in elderly patients. Methods This study examines the procedure for transbrachial coronary angioplasty in appropriately selected 106 patients with 66.6±5.7 (60～86) and 172 patients with 49.5±6.8 (33～59) years old. Results The artery puncture and cannulation success rates (93.4% vs 94.8%; P >0.05), the angioplasty success rates (91.8% vs 92.6%; P >0.05), and the complications (5.7% vs 5.8%; P >0.05) did not differ between two groups. Procedure-related variables including procedure time (29.5±11.6 vs 28.6±10.5 min; P >0.05), fluoroscopy time (18.8±5.5 vs 18.6±5.8 min; P >0.05), and amount of radio graphic contrast (90.6±21.6 vs 90.4±20.8 ml; P >0.05) were also similar between two groups. Conclusion The transbrachial coronary angioplasty can be performed safely and successfully in selected elderly patients.
出处
《中国介入心脏病学杂志》
2002年第2期93-95,共3页
Chinese Journal of Interventional Cardiology
