亲水导丝会影响经皮血管成形术的技术成功率吗？

Do hydrophilic guidewires affect the technical success rates of percutaneous angioplasty?

作者信息

Hartnell G G, Jones A M, Murphy P

机构信息

University Department of Radiodiagnosis, University of Bristol, United Kingdom.

出版信息

Angiology. 1995 Mar;46(3):229-34. doi: 10.1177/000331979504600306.

DOI:10.1177/000331979504600306

PMID:7879963

Abstract

To determine whether the use of hydrophilic guidewires has influenced the success of peripheral percutaneous transluminal angioplasty (PTA), the results of PTA performed before and after the introduction of such guidewires (end of 1989) were analyzed. Before hydrophilic guidewires became generally available, the technical success rates for iliac stenosis PTA were 96%, for femoral stenosis PTA 84%, and for femoral occlusion 78%. After the introduction of hydrophilic guidewires, technical success rates were 100% (NS), 97% (P = 0.018), and 97% (P = 0.011), respectively. A prospective study of 33 patients randomly selected for PTA of femoropopliteal occlusion using either conventional or hydrophilic guidewires was performed. In this group, the technical success rate was 14/15 in the hydrophilic group, and 18/18 in the conventional group (NS). Since the introduction of hydrophilic guidewires, the technical success rates of PTA have improved and are now approaching 100%.

摘要

为了确定使用亲水导丝是否影响了外周经皮腔内血管成形术（PTA）的成功率，分析了在引入此类导丝（1989年末）前后进行的PTA结果。在亲水导丝普遍应用之前，髂动脉狭窄PTA的技术成功率为96%，股动脉狭窄PTA为84%，股动脉闭塞为78%。引入亲水导丝后，技术成功率分别为100%（无显著性差异）、97%（P = 0.018）和97%（P = 0.011）。对33例随机选择使用传统或亲水导丝进行股腘动脉闭塞PTA的患者进行了一项前瞻性研究。在该组中，亲水组的技术成功率为14/15，传统组为18/18（无显著性差异）。自从引入亲水导丝以来，PTA的技术成功率有所提高，目前已接近100%。