{"title":"【不加肝素冠状动脉造影1400例临床分析】。","authors":"Yi-qing Wang, Yan Wang, Bin-ni Cai, Wen-hui Liu, Shui-long Chen, Jun-ze Dong, Shi-hua He, Hong-mei Wen, Cai-bing Xiao","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility and safety of coronary artery angiography via femoral artery approach without heparin.</p><p><strong>Methods: </strong>Totally 1 400 consecutive patients undergoing coronary artery angiography with heparin were analyzed retrospectively in comparison with the data of 354 patients for coronary artery angiography without heparin.</p><p><strong>Results: </strong>Success in selective coronary artery angiography was achieved in 99.3% of the patients in the non-heparin group, with the mean operation time of 17.9+/-11.3 min ranging from 8 min to 1 hour. Angiography identified coronary artery stenosis in 72.2% of the patients including 49.8% with multivessel involvement. Subcutaneous hematoma occurred in 25 (1.8%) of the patients, and 1 (0.07%) patient developed arterial and venous fistula and pseudoaneurysm at the puncture site, but other complications (retroperitoneal hematoma, acute myocardial infarction, stroke and peripheral artery thrombotic events) occurred neither during nor after the procedure. In the heparin group, 18 (5.1%) patients developed subcutaneous hematoma and 1 (0.2%) had arterial and venous fistula and pseudoaneurysm at the puncture site after angiography.</p><p><strong>Conclusion: </strong>Coronary artery angiography without heparin is both safe and feasible with only very low risk of complications.</p>","PeriodicalId":11097,"journal":{"name":"Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Clinical analysis of 1,400 cases of coronary artery angiography without heparin].\",\"authors\":\"Yi-qing Wang, Yan Wang, Bin-ni Cai, Wen-hui Liu, Shui-long Chen, Jun-ze Dong, Shi-hua He, Hong-mei Wen, Cai-bing Xiao\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the feasibility and safety of coronary artery angiography via femoral artery approach without heparin.</p><p><strong>Methods: </strong>Totally 1 400 consecutive patients undergoing coronary artery angiography with heparin were analyzed retrospectively in comparison with the data of 354 patients for coronary artery angiography without heparin.</p><p><strong>Results: </strong>Success in selective coronary artery angiography was achieved in 99.3% of the patients in the non-heparin group, with the mean operation time of 17.9+/-11.3 min ranging from 8 min to 1 hour. Angiography identified coronary artery stenosis in 72.2% of the patients including 49.8% with multivessel involvement. Subcutaneous hematoma occurred in 25 (1.8%) of the patients, and 1 (0.07%) patient developed arterial and venous fistula and pseudoaneurysm at the puncture site, but other complications (retroperitoneal hematoma, acute myocardial infarction, stroke and peripheral artery thrombotic events) occurred neither during nor after the procedure. In the heparin group, 18 (5.1%) patients developed subcutaneous hematoma and 1 (0.2%) had arterial and venous fistula and pseudoaneurysm at the puncture site after angiography.</p><p><strong>Conclusion: </strong>Coronary artery angiography without heparin is both safe and feasible with only very low risk of complications.</p>\",\"PeriodicalId\":11097,\"journal\":{\"name\":\"Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2005-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:评价不使用肝素经股动脉入路冠状动脉造影的可行性和安全性。方法:回顾性分析1 400例连续行肝素冠脉造影患者与354例未行肝素冠脉造影患者的资料。结果:非肝素组选择性冠状动脉造影成功率为99.3%,平均手术时间为17.9+/-11.3 min, 8 min ~ 1 h。72.2%的患者有冠脉狭窄,其中49.8%的患者有多支血管受累。25例(1.8%)患者出现皮下血肿,1例(0.07%)患者在穿刺部位出现动脉、静脉瘘和假性动脉瘤,但其他并发症(腹膜后血肿、急性心肌梗死、中风和外周动脉血栓事件)在手术期间和手术后均未发生。肝素组18例(5.1%)患者出现皮下血肿,1例(0.2%)患者血管造影后穿刺部位出现动、静脉瘘及假性动脉瘤。结论:不使用肝素的冠状动脉造影是安全可行的,并发症发生率极低。
[Clinical analysis of 1,400 cases of coronary artery angiography without heparin].
Objective: To evaluate the feasibility and safety of coronary artery angiography via femoral artery approach without heparin.
Methods: Totally 1 400 consecutive patients undergoing coronary artery angiography with heparin were analyzed retrospectively in comparison with the data of 354 patients for coronary artery angiography without heparin.
Results: Success in selective coronary artery angiography was achieved in 99.3% of the patients in the non-heparin group, with the mean operation time of 17.9+/-11.3 min ranging from 8 min to 1 hour. Angiography identified coronary artery stenosis in 72.2% of the patients including 49.8% with multivessel involvement. Subcutaneous hematoma occurred in 25 (1.8%) of the patients, and 1 (0.07%) patient developed arterial and venous fistula and pseudoaneurysm at the puncture site, but other complications (retroperitoneal hematoma, acute myocardial infarction, stroke and peripheral artery thrombotic events) occurred neither during nor after the procedure. In the heparin group, 18 (5.1%) patients developed subcutaneous hematoma and 1 (0.2%) had arterial and venous fistula and pseudoaneurysm at the puncture site after angiography.
Conclusion: Coronary artery angiography without heparin is both safe and feasible with only very low risk of complications.