经皮肱动脉穿刺行冠状动脉介入治疗可行性分析

Evaluation of feasibility of transbrachial percutaneous coronary artery intervention

摘要: 目的: 探讨经皮肱动脉穿刺行冠状动脉介入治疗(PCI)的可行性及安全性。方法: 40例经桡动脉穿刺失败患者改行经肱动脉穿刺行介入治疗（TBI）。随机选择同期经桡动脉介入治疗（TRI）病例40例作为对照组。经TBI的器材选择及操作手法基本同TRI。结果: 40例TBI疗全部成功，两组手术时间，造影剂用量，置入支架数，血管及全身并发症及近期术后疗效均无统计学差异。结论: 经肱动脉冠状动脉介入治疗安全可行，临床可推广应用。

Abstract: AIM: To evaluate the feasibility and safety of transbrachial percutaneous coronary artery intervention (PCI). METHODS: Forty cases with failed transradial PCI were selected and changed to transbrachial PCI (TBI) and 40 cases with successful transradial PCI (TRI) at the same period were selected as control group. Catheter selection and maneuver skill of TBI were the same as those of TRI. RESULTS: All 40 cases of TBI were successful. No statistical difference in operation time, contrast dose, stent number, local and system complication and short-term result was found between groups. CONCLUSION: Transbrachial PCI is a feasible and safe procedure that can be widely used clinically.