Clinical Observation Of Patients Treated By Percutaneous Coronary Intervention In Different Paths

Objective: Coronary heart disease (coronary heart disease, CHD) in today's society has become hazardous to human health is one of the major diseases. Interventional diagnosis and treatment of their trauma, a significant effect of the characteristics of clinical coronary heart disease has become the main means of treatment. Percutaneous coronary intervention technology in the development process, many arteries are as PCI-surgical approach. Current clinical percutaneous coronary intervention have often chosen the path femoral artery puncture channel, radial artery and brachial artery. Comparison of three ways by patients treated with coronary intervention success rate of insertion Guanzhuangdongmai, the average operation time, mean postoperative hospital stay and postoperative complication rate and explored ways by different coronary intervention in the success rate and security.Methods: Selected by catheter coronary intervention in 50 cases, transradial coronary intervention in 50 cases, by brachial artery puncture of 50 patients with percutaneous coronary intervention. Observed among the groups puncture success rate, the average operation time, the average postoperative hospital stay, and postoperative complication rate.Results: All femoral artery puncture success path group (100%), mean operative time was 51±26 minutes; the average postoperative hospital stay was 5.4±1.2 days; 50 patients with bleeding and hematoma occurred in 12 cases (24..00%); extubation occurred during vasovagal reflex in 4 cases (8.00%); venous thrombosis in 2 case (4.00%), arteriovenous fistula in 2 case (4.00%); together all kinds of complications after surgery there were 20 cases (40.00%).Radial artery puncture in the course of the path group of 5 patients puncture failure, 3 patients had radial artery spasm (6%), 1 patient radial artery malformations (aortic rings), not well placed guidewire (2%), 1 patients after puncture wire into the vessel wall dissection (2%). The average operation time 79±23 minutes; the average postoperative hospital stay was 3.4±0.9 days; 45 patients and postoperative hematoma in 2 cases (4.44%), 1 case of hematoma and severe, ultimately complicated by compartment syndrome; No patient developed vasovagal reflex (0%); not one case of venous thrombosis (0%); not one case of arteriovenous fistula. Combined total of all complications occurred in 2 cases (4.4%).Brachial artery puncture in the course of the path group 1 patient because of brachial artery malformation (severe bending) catheter failure (2%), mean operative time was 70±19 minutes; the average postoperative hospital stay was 3.5±1.3 days; 49 patients in the surgery After the hematoma in 8 cases (16.33%); 2 patient who vagal reflex (4.08%); no venous thrombosis or arteriovenous fistula. Total complications were occurred in 10 patients (20.4%).Conclusion: 1. Femoral artery, the mean operative time was significantly longer than the radial artery group and the brachial artery group; 2. Femoral artery group average hospital stay was significantly longer than the radial artery group and brachial artery group; 3. femoral artery group complication rate was significantly higher than the brachial artery; 4.The best PCI surgical approach is from radial artery.