经6F引导导管进行冠状动脉血管成形术

[Coronary angioplasty through 6 French guiding catheters].

作者信息

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

机构信息

Laboratorio de Hemodinámica, Hospital Central de Asturias, Universidad de Oviedo.

出版信息

Rev Esp Cardiol. 1996 Feb;49(2):124-9.

PMID:8948722

Abstract

BACKGROUND

The development of new small guiding catheters with large internal lumen has allowed their use in routine coronary angioplasty.

OBJECTIVES

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

目的

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。

方法

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。

结果

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。