经桡动脉途径冠状动脉支架植入术350例并发症剖析.docVIP

经桡动脉途径冠状动脉支架植入术350例并发症剖析 　　[摘要] 目的 分析经桡动脉途径冠状动脉支架植入术并发症发生特点。 方法 回顾性分析350例患者病历资料，将并发桡动脉狭窄与闭塞患者纳入观察组，未并发者纳入对照组，进行因素分析。 结果 成功率100%，并发症发生率30.29%，无致死性并发症；女性、糖尿病、术中肝素用量、压迫止血时间成为独立危险因素。 结论 手术成功率高，致命性并发症发生率低；桡动脉狭窄与闭塞影响因素众多，与血管初始条件、医源性损伤、用药等因素密切相关。 　　[关键词] 介入治疗；经桡动脉途径冠状动脉介入治疗；支架植入术 　　[中图分类号] R816 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0060-02 　　Analysis of Complications of Transradial Coronary Stent Implantation in 350 Patients 　　AIKEBAIER Abudureheman1，HUANG Chun2 　　Department of Cardiovascular Disease， First Division Hospital of Xinjiang production and Construction Corps， Aksu，Xinjiang， 843300 China 　　[Abstract] Objective To analyze the occurrence characteristics of complications of transradial coronary artery stent implantation. Methods Medical records of 350 cases of patients were retrospectively analyzed： patients complicated by radial artery stenosis and occlusion were selected as the observation group，while those without complications were selected as the control group. The factors related to complication were discussed. Results Power 100%， complication rate was 30.29%， no fatal complications； female， diabetes mellitus， intraoperative heparin dosage， sheath tube indwelling time， hemostasis time is an independent risk factor. Conclusion The success rate of operation is high， the fatal complications occurrence rate is low； radial artery stenosis and occlusion and affected by many factors， and is closely related to vascular initial conditions， iatrogenic injury， medication and other factors. 　　[Key words] Interventional therapy； Percutaneous radial artery approach for coronary artery interventional treatment； Stent implantation 　　经桡动脉途径冠状动脉介入治疗（Transradial coronary intervention，TRI）已被广泛应用于冠心病临床介入治疗，具有损伤小、局部并发症少、术后用药适应证广、恢复快等优点，在我国已成功开展5万例TRI，约占冠脉介入治疗的44%[1]。为详细评估TRI下支架移植术并发症情况，该研究对2012年7月―2014年5月间该院收治的350例TRI下支架移植术患者病历资料进行回顾性分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选取2012年7月―2014年5月间该院共行经桡动脉途径冠状动脉支架植入术350例，其中男229例、女121例，年龄28～83岁，平均（62.5±11.3）例。纳入标准：①均在术前以及术后3 d内完成桡