A ssessment of the Clinical Effect of Coronary Angiography by Transradial and Transfemoral Approaches_West China Medical Journal

Authors：

YU Jiangheng , ZHONG Dechao , SHI Zhaoyun.

Department of Cardiology, the First People’s Hospital of Zigong, Zigong, Sichuan 643000, P. R. China;

Corresponding author：

Keywords：

DOI：

10.7507/1002-0179.20130436

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　探讨经桡动脉和股动脉路径行冠状动脉造影检查效果的优缺点。方法　纳入2011年1月－2012年4月收治的460例患者，随机分为经桡动脉路径组（桡动脉组）和经股动脉路径组（股动脉组）各230例，观察两组的可行性因素：平均穿刺时间、造影时间、造影剂剂量、手术成功率、术后恢复时间、血管并发症、平均住院时间及住院费用。结果　两组间平均穿刺时间、造影时间、造影剂剂量、手术成功率差异无统计学意义（P＞0.05），但桡动脉组的术后恢复时间、血管并发症、平均住院时间及住院费用显著优于股动脉组，两组差异有统计学意义
（P＜0.05）。结论　经桡动脉路径组行冠状动脉造影方法优于经股动脉路径，并发症少，安全性高，临床上值得广泛应用。

Citation： YU Jiangheng,ZHONG Dechao,SHI Zhaoyun.. A ssessment of the Clinical Effect of Coronary Angiography by Transradial and Transfemoral Approaches. West China Medical Journal, 2013, 28(9): 1384-1386. doi: 10.7507/1002-0179.20130436 Copy

1.	Campeau L. Percutaneous radial artery approach for coronary angiography[J]. Cathet Cardiovasc Diagn, 1989, 16(1): 3-7.
2.	Lin CJ, Fang HY, Chen TH, et al. Transradial percutaneous coronary intervention for chronic total occlusion using sheathless technique and retrograde approach[J]. Catheter Cardiovasc Interv, 2013, 82 (3): 206-210.
3.	Kwon SW, Cha JJ, Rhee JH. Prone position coronary angiography due to intractable back pain: another merit of transradial approach compared to transfemoral approach[J]. J Invasive Cardiol, 2012, 24(11): 605-607.
4.	Justino H, Khairy P. Congenital heart disease and coronary atherosclerosis: a looming concern?[J]. Can J Cardiol, 2013, 29(7): 757-758.
5.	Balwanz CR, Javed U, Singh GD, et al. Transradial and transfemoral coronary angiography and interventions: 1-year outcomes after initiating the transradial approach in a cardiology training program[J]. Am Heart J, 2013, 165(3): 310-316.
6.	Deora S, Shah S, Patel T. Balloon-assisted tracking of guide catheter dealing with radial artery perforation and subclavian loop during percutaneous coronary intervention by transradial approach[J]. Int J Cardiol, 2013(13): 840-841.
7.	Honda T, Fujimoto K, Miyao Y, et al. Access site-related complications after transradial catheterization can be reduced with smaller sheath size and statins[J]. Cardiovasc Interv Ther, 2012, 27(3): 174-180.
8.	Schussler JM. Effectiveness and safety of transradial artery access for cardiac catheterization[J]. Proc (Bayl Univ Med Cent), 2011, 24(3): 205-209.
9.	陈瑶, 邱原刚, 朱建华, 等. 经不同血管经路行冠状动脉介入治疗对患者心理状况的影响[J]. 中华心血管病杂志, 2006, 34(8): 714-717.
10.	Escárcega RO, Bashir R, George JC, et al. Transradial coronary angiography and percutaneous intervention in the era of health care reform, cost containment, and patient-centered care[J]. Invasive Cardiol, 2011, 23(9): 383-385.
11.	Secco GG, Marinucci L, Uguccioni L, et al. Transradial versus transfemoral approach for primary percutaneous coronary interventions in elderly patients[J]. J Invasive Cardiol, 2013, 25(5): 254-256.
12.	郭盛. 冠状动脉病变经桡动脉途径介入治疗临床研究[J]. 华西医学, 2010, 25(10): 1789-1791.

1. 　Campeau L. Percutaneous radial artery approach for coronary angiography[J]. Cathet Cardiovasc Diagn, 1989, 16(1): 3-7.
2. 　Lin CJ, Fang HY, Chen TH, et al. Transradial percutaneous coronary intervention for chronic total occlusion using sheathless technique and retrograde approach[J]. Catheter Cardiovasc Interv, 2013, 82 (3): 206-210.
3. 　Kwon SW, Cha JJ, Rhee JH. Prone position coronary angiography due to intractable back pain: another merit of transradial approach compared to transfemoral approach[J]. J Invasive Cardiol, 2012, 24(11): 605-607.
4. 　Justino H, Khairy P. Congenital heart disease and coronary atherosclerosis: a looming concern?[J]. Can J Cardiol, 2013, 29(7): 757-758.
5. 　Balwanz CR, Javed U, Singh GD, et al. Transradial and transfemoral coronary angiography and interventions: 1-year outcomes after initiating the transradial approach in a cardiology training program[J]. Am Heart J, 2013, 165(3): 310-316.
6. 　Deora S, Shah S, Patel T. Balloon-assisted tracking of guide catheter dealing with radial artery perforation and subclavian loop during percutaneous coronary intervention by transradial approach[J]. Int J Cardiol, 2013(13): 840-841.
7. 　Honda T, Fujimoto K, Miyao Y, et al. Access site-related complications after transradial catheterization can be reduced with smaller sheath size and statins[J]. Cardiovasc Interv Ther, 2012, 27(3): 174-180.
8. 　Schussler JM. Effectiveness and safety of transradial artery access for cardiac catheterization[J]. Proc (Bayl Univ Med Cent), 2011, 24(3): 205-209.
9. 　陈瑶, 邱原刚, 朱建华, 等. 经不同血管经路行冠状动脉介入治疗对患者心理状况的影响[J]. 中华心血管病杂志, 2006, 34(8): 714-717.
10. 　Escárcega RO, Bashir R, George JC, et al. Transradial coronary angiography and percutaneous intervention in the era of health care reform, cost containment, and patient-centered care[J]. Invasive Cardiol, 2011, 23(9): 383-385.
11. 　Secco GG, Marinucci L, Uguccioni L, et al. Transradial versus transfemoral approach for primary percutaneous coronary interventions in elderly patients[J]. J Invasive Cardiol, 2013, 25(5): 254-256.
12. 　郭盛. 冠状动脉病变经桡动脉途径介入治疗临床研究[J]. 华西医学, 2010, 25(10): 1789-1791.

Previous Article
Evaluation of the Optimized Algorithm for Interventricular Intervals in Biventricular Pacing Therapy
Next Article
The Evaluation of Surgical Treatments for Hilar Cholangiocarcinoma

West China Medical Journal

A ssessment of the Clinical Effect of Coronary Angiography by Transradial and Transfemoral Approaches

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content