经桡动脉途径行冠状动脉介入治疗患者桡动脉闭塞的发生率
Incidence of Radial Artery Occlusion in Patients Undergoing Percutaneous Coronary Intervention via Trans Radial Access.
作者信息
Bukhari Syed Naseem, Javed Imran, Usman Muhammad
机构信息
Syed Naseem Bukhari, MBBS, FCPS, Assistant Professor, Department of Cardiology, Ch, Pervaiz Elahi Institute of Cardiology, Multan, Pakistan.
Imran Javed, MBBS, FCPS, Assistant Professor, Nishtar Medical University & Hospital Multan, Pakistan.
出版信息
Pak J Med Sci. 2023 Mar-Apr;39(2):377-379. doi: 10.12669/pjms.39.2.7219.
OBJECTIVE
To determine the incidence of radial artery occlusion (RAO) in patients undergoing percutaneous coronary intervention (PCI) via trans-radial access (TRA).
METHOD
A descriptive study was carried out at the Department of interventional cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan from 30-April 2019 to 30-October 2020. One hundred and twenty-five patients, who underwent PCI by TRA were selected for this study. The presence of Radial artery occlusion was noted 24 hours after the procedure by Doppler ultrasonography. SPSS version 23 was used for data analysis. A Chi-square test was applied. P-value < 0.05 was taken as statistically significant.
RESULTS
Gender distribution revealed 109 (87.2%) males and 16 (12.8%) females. The mean age of the patients was 65.22 ± 11.54 years. The mean BMI of the patients was 29.93±4.87 kg/m. 84 (67.2%) patients were hypertensive, 40 (32%) patients were diabetics, 22 (17.6%) patients were smoker and 24 (19.2%) patients were having dyslipidemia. RAO after 24 hours was found in 5(4.0%) patients.
CONCLUSION
Radial artery occlusion is a common complication of trans-radial access so radial artery patency must be checked before using it for transcatheter procedures.
目的
确定经桡动脉途径（TRA）行冠状动脉介入治疗（PCI）患者的桡动脉闭塞（RAO）发生率。
方法
于2019年4月30日至2020年10月30日在木尔坦市乔杜里·佩尔韦兹·埃拉希心脏病学研究所介入心脏病科开展一项描述性研究。本研究选取了125例行TRA PCI的患者。术后24小时采用多普勒超声检查桡动脉闭塞情况。采用SPSS 23版进行数据分析，并应用卡方检验。P值<0.05被视为具有统计学意义。
结果
性别分布显示，男性109例（87.2%），女性16例（12.8%）。患者的平均年龄为65.22±11.54岁。患者的平均体重指数为29.93±4.87kg/m。84例（67.2%）患者患有高血压，40例（32%）患者患有糖尿病，22例（17.6%）患者吸烟，24例（19.2%）患者患有血脂异常。5例（4.0%）患者在术后24小时出现RAO。
结论
桡动脉闭塞是经桡动脉途径的常见并发症，因此在将其用于经导管操作前必须检查桡动脉的通畅情况。
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