经桡动脉途径冠脉介入治疗的优势_王雷.ppt

ADVANTAGES OF TRI Wang Lei Beijing Friendship Hospital Why we do TRI More Patient Satisfaction Lower Costs Fewer Bleeding and Vascular Complications Effective as TFI Advantages of TRI Advantages of TRI More Patient Satisfaction More Patients’ Choices Less Patients’ Costs More Patient SatisfactionLess Major Complication More Patient SatisfactionLess Major Complication More Patient SatisfactionLess Major Complication Less nurse and doctors’ workload Why we do TRI More Patient Satisfaction Lower Costs Fewer Bleeding and Vascular Complications Effective as TFI Bleeding is related with higher mortality TRI decreased access site complication! Why we do TRI More Patient Satisfaction Lower Costs Fewer Bleeding and Vascular Complications Effective as TFI Effective as TFI for LM Prevalence of TRA/TRI in 2006 and 2007 Prevalence of TRA/TRI in 2006 and 2007 Effective as TFI TRI Effective as TFI What we had done about TRI! What we had done about TRI! Radiation between TRI and TFI Learning Curve of TRI Learning Curve of TRI Influences of TRI on the Radial Artery Wall Thanks Jennifer A. Tremmel. Launching a Successful Transradial Program. J INVASIVE CARDIOL 2009;21(Suppl A):5A–10A Stanford Practice * Cooper CJ, et al.. Am Heart J.1999;138:430–436. Quality of life at 1 week post-PCI measured using SF-36(n=200) Quality of life at 1 week post-PCI measured using 0-10 Visual analog scale Histogram of patient preference for catheterization method rated on visual analog scale (n = 200). Median hospital costs for all patients (n = 200). Cooper CJ, et al.. Am Heart J.1999;138:430–436. Sciahbasi A, et al. Int J Cardiol 2008.August. PMID: 1869178. Male,61yrs,STEMI(Inferior Wall), accepted primary TRI on October 3rd ,2009. LCX-1stent. Male,56yrs,STEMI(Inferior and Posterior wall), accepted Primary TRI on October 1st ,2009. RCA-2stents,LCX-1stent Giovanni Amoroso, Gert-Jan Laarman and Ferdinand Kiemeneij. Overview of the transradial approach in percutaneous c