Morís de la Tassa C, Rodríguez Lambert J L, Santos A E, Villa R B, Rodríguez Blanco V M, Barriales Alvarez V, Llosa A C
Laboratorio de Hemodinámica, Hospital Central de Asturias, Universidad de Oviedo.
Rev Esp Cardiol. 1996 Feb;49(2):124-9.
The development of new small guiding catheters with large internal lumen has allowed their use in routine coronary angioplasty.
The aim of this study is to present the technical characteristics, results and complication rates obtained with the use of 6 French guiding catheters compared with those obtained with the use of 8 French.
During a 23 month period, a total of 355 consecutive patients was enrolled in this study. Coronary angioplasty was performed in 177 of them using a 6F guiding catheter and 178 using an 8F.
We found no differences in technical characteristics between both groups: Radiation time (15.7 +/- 14 min vs 16.2 +/- 14 min), guiding catheter to patient ratio (1.1 +/- 0.3 vs 1.06 +/- 0.2), number of balloon catheters per patient (1.2 +/- 0.7 vs 1.36 +/- 0.7). There were no differences in the results obtained (Success 93% in 6F group vs 91% in 8F), major complication rates (Death 0.5% vs 1.6%, CABG 1.1% vs 2.2% or AMI 0% vs 2.2%), or peripheral complications.
In coronary angioplasty, with the use of 6F guiding catheters the same results can be achieved as with the use of larger catheters without an increase in technical difficulties or in complication rates.
新型大内腔小引导导管的研发使其可用于常规冠状动脉血管成形术。
本研究旨在呈现使用6F引导导管与8F引导导管相比所获得的技术特征、结果及并发症发生率。
在23个月期间，本研究共纳入355例连续患者。其中177例使用6F引导导管进行冠状动脉血管成形术，178例使用8F引导导管。
我们发现两组在技术特征方面无差异：放射时间（15.7±14分钟对16.2±14分钟）、引导导管与患者比例（1.1±0.3对1.06±0.2）、每位患者使用的球囊导管数量（1.2±0.7对1.36±0.7）。所获得的结果（6F组成功率为93%，8F组为91%）、主要并发症发生率（死亡率0.5%对1.6%，冠状动脉旁路移植术1.1%对2.2%，或急性心肌梗死0%对2.2%）或外周并发症方面均无差异。
在冠状动脉血管成形术中，使用6F引导导管可获得与使用较大导管相同的结果，且不会增加技术难度或并发症发生率。
