Saito S, Miyake S, Hosokawa G, Tanaka S, Kawamitsu K, Kaneda H, Ikei H, Shiono T
Division of Cardiology and Catheterization Laboratories, ShonanKamakura Hospital, Kamakura, Japan.
Catheter Cardiovasc Interv. 1999 Jan;46(1):37-41; discussion 42. doi: 10.1002/(SICI)1522-726X(199901)46:1<37::AID-CCD10>3.0.CO;2-Y.
The objectives of this study was to test the feasibility and safety of transradial coronary intervention (TRI) in Japanese patients. We compared the results of TRI in 1,791 lesions (1,360 patients) between November 1995 and December 1997 with those of transfemoral coronary intervention (TFI) in 966 lesions (793 patients) between April and October 1995. We also examined the radial artery pulse in 294 patients 1-2 weeks after TRI by palpation and Doppler examination. Arterial puncture, coronary artery cannulation, lesion, and patient success rates were similar in both groups. No significant difference was noted in the major complication rate. Local complications were significantly lower in the TRI group (0.3% vs. 3.3%, P < 0.001). Doppler studies of the radial artery were performed in 294 patients chosen at random. In the first 234 patients, the sheath was pulled out 3 hr after the procedure, and in the last 60 patients, immediately after the procedure; radial artery occlusion rates were 5% and 0%, respectively. In conclusion, TRI seems safe and feasible in Japanese patients.
本研究的目的是测试经桡动脉冠状动脉介入治疗（TRI）在日本患者中的可行性和安全性。我们比较了1995年11月至1997年12月期间1791处病变（1360例患者）的TRI结果与1995年4月至10月期间966处病变（793例患者）的经股动脉冠状动脉介入治疗（TFI）结果。我们还通过触诊和多普勒检查对294例患者在TRI术后1 - 2周的桡动脉搏动进行了检查。两组的动脉穿刺、冠状动脉插管、病变及患者成功率相似。主要并发症发生率无显著差异。TRI组的局部并发症显著更低（0.3%对3.3%，P < 0.001）。对随机选取的294例患者进行了桡动脉的多普勒研究。在前234例患者中，术后3小时拔出鞘管，在最后60例患者中，术后立即拔出；桡动脉闭塞率分别为5%和0%。总之，TRI在日本患者中似乎是安全可行的。
