Radial artery and the femoral artery after primary percutaneous coronary intervention for acute myocardial infarction of the gender differences.doc

 PAGE \* MERGEFORMAT 8 Radial artery and the femoral artery after primary percutaneous coronary intervention for acute myocardial infarction of the gender differences Of: Wang Zhigang Ji Yuxiang Wang Chuan with Transradial (TRI or femoral artery approach (TFI) coronary intervention (PCI is the most common way to approach. Through the femoral artery PCI, especially for acute myocardial infarction (AMI patients, making the approach after complications such as bleeding and hematoma site increased significantly (13.5% ~ 33%), while the PCI via the radial artery with local bleeding and vascular complications in less AMI does not affect the enhanced anti-platelet and anticoagulant therapy, etc. [1], Yu Lai more to be accepted by patients and surgeons. but after TRI and TFI emergency intervention for acute myocardial infarction in different What is the difference between the sexes, so far rarely reported, this analysis will be explored. 1 Materials and Methods 1.1 PARTICIPANTS: January 2006 to December 2009 Department of Cardiology in our hospital for emergency hospitalization and 156 cases of PCI in AMI patients were analyzed for the object. According to the different ways to approach PCI were divided into A group (ie TRI group, B group (ie, TFI group. A group for the A1 group of women, men and A2 groups. B group in the B1 group of women, men and B2 groups. AMI diagnostic criteria refer to the Chinese Medical Association 2001 Branch of the development of cardiovascular diagnosis and treatment guidelines [2]. A group of patients to exclude Allen test was negative, non-radial arterial pulse and the known abnormalities or severe upper limb arterial disease. A, B groups were excluded severe hemodynamic instability, acute left heart failure, severe renal dysfunction. 1.2 Intervention: All patients agreed to the consent of himself and his family, and signed informed consent. Preoperative routine oral aspirin 300mg, clopidogrel 300mg or 600mg.A sho