不同穿刺方法对心脑血管联合造影患者疗效和安全性的影响

IF 1.6 4区 医学 Q2 SURGERY
Hui Xi, Chang-Yu Lu, Ning Wang, Yang Zhao, Yuan-Li Zhao, Tao Hong, Wen-Chao Zhang
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引用次数: 0

摘要

目的比较经桡动脉入路和经股动脉入路在心脑血管造影术中的疗效和安全性。材料和方法选择在我院接受心脑血管造影术的 120 例患者,按照随机数字表将其分为经桡动脉入路组(TRA)和经股动脉入路组(TFA)。结果两组患者的穿刺时间和手术时间差异无统计学意义(P> 0.05)。TRA组术后卧床时间、住院时间、X光照射时间均短于TFA组,差异有统计学意义(P< 0.05)。术前和术后 3 天,两组患者的左心室射血分数无明显差异(P > 0.)TFA 组的并发症总发生率高于 TRA 组。结论对于同步心脑血管造影,经桡动脉和股动脉介入治疗具有良好的疗效,并能改善心功能。结论对于同步心脑血管造影而言,经桡动脉和股动脉介入治疗具有良好的疗效,可改善心功能,但经桡动脉介入治疗可缩短术后卧床时间和住院时间,降低并发症的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of different puncture approaches on the curative effect and safety of patients with combined cardiovascular and cerebrovascular angiography
Introduction
The relationship between different puncture points and perioperative complications and length of stay in hospital (LOS) in SCCAG patients has rarely been reported.

Aim
To compare the curative effect and safety of the transradial artery approach and the transfemoral artery approach in combined heart-brain angiography.

Material and methods
120 patients who received combined cardio-cerebral angiography in our hospital were selected and divided into a transradial artery approach group (TRA) and a transfemoral artery approach group (TFA) according to a random number table. The postoperative efficacy and safety of the 2 groups were compared.

Results
There was no statistically significant difference in puncture time and operation time between the 2 groups (p > 0.05). Postoperative bed rest time, hospitalization time, and X-ray exposure time in the TRA group were shorter than those in the TFA group, and the difference was statistically significant (p < 0.05). Before operation and 3 days after operation, there was no significant difference in left ventricle ejection fraction between the 2 groups (p > 0. 05). The overall incidence of complications in the TFA group was higher than that in the TRA group. The incidence between haematoma and pseudoaneurysm in the TFA group was higher, and the difference was statistically significant (p < 0.05).

Conclusions
For simultaneous heart-brain angiography, interventional therapy via radial artery and femoral artery has good curative effect and can improve cardiac function. However, interventional therapy through the radial artery can shorten the postoperative bed rest time and hospitalization time, and reduce the incidence of complications.

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来源期刊
CiteScore
2.80
自引率
23.50%
发文量
48
审稿时长
12 weeks
期刊介绍: Videosurgery and other miniinvasive techniques serves as a forum for exchange of multidisciplinary experiences in fields such as: surgery, gynaecology, urology, gastroenterology, neurosurgery, ENT surgery, cardiac surgery, anaesthesiology and radiology, as well as other branches of medicine dealing with miniinvasive techniques.
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