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題 名 | Feasibility and Safety of a Transradial Approach in Intervention for Chronic Total Occlusion of Coronary Arteries: A Single-center Experience=經橈動脈進行慢性完全阻塞冠狀動脈介入治療的安全性與可信性:單一醫學中心經驗 |
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作 者 | 楊正旭; 郭必芳; 陳世明; 葉漢根; 謝元凱; 方志元; 陳建仁; 洪志凌; 陳勉成; 吳炯仁; | 書刊名 | 長庚醫誌 |
卷 期 | 33:6 2010.11-12[民99.11-12] |
頁 次 | 頁639-645 |
分類號 | 415.3161 |
關鍵詞 | 經橈動脈; 經股動脈; 慢性完全性阻塞; Transradial; Transfemoral; Chronic total occlusion; |
語 文 | 英文(English) |
英文摘要 | Background : The transradial approach for cardiac catheterization has become popular; however, its application in percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) has rarely been reported. This study examines the feasibility and safety of this approach for performing PCI for CTO lesions. Method : We retrospectively evaluated 419 consecutive patients who underwent PCI for CTO lesions between February 1998 and December 2003 in our hospital; a transradial artery approach was used in 400 patients and a transfemoral artery approach in 19. Results : The baseline clinical characteristics were similar in the 2 patient groups. The transradial group had more de novo lesions (76% vs 47.37%, p = 0.012), fewer in-stent restenotic lesions (11.75% vs 36.84%, p = 0.006) and smaller guiding catheters (p < 0.001) than the transfemoral group. There was no statistical difference in the procedure success rates (69.25% and 78.95%, p =0.369) between the 2 groups. The incidence of major complications, including death, Q wave myocardial infarction, and emergency coronary artery bypass surgery, was similar in the 2 groups. Conclusions : The transradial approach for PCI can be a feasible choice for a CTO lesion. If this approach fails because of poor back up support from the guiding catheter, the transfemoral approach can be attempted with a larger guiding catheter. |
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