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

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目的　探討經橈動脈和股動脈路徑行冠狀動脈造影檢查效果的優缺點。方法　納入2011年1月－2012年4月收治的460例患者，隨機分為經橈動脈路徑組（橈動脈組）和經股動脈路徑組（股動脈組）各230例，觀察兩組的可行性因素：平均穿刺時間、造影時間、造影劑劑量、手術成功率、術后恢復時間、血管并發癥、平均住院時間及住院費用。結果　兩組間平均穿刺時間、造影時間、造影劑劑量、手術成功率差異無統計學意義（P＞0.05），但橈動脈組的術后恢復時間、血管并發癥、平均住院時間及住院費用顯著優于股動脈組，兩組差異有統計學意義
（P＜0.05）。結論　經橈動脈路徑組行冠狀動脈造影方法優于經股動脈路徑，并發癥少，安全性高，臨床上值得廣泛應用。

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.	陳瑤, 邱原剛, 朱建華, 等. 經不同血管經路行冠狀動脈介入治療對患者心理狀況的影響[J]. 中華心血管病雜志, 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. 冠狀動脈病變經橈動脈途徑介入治療臨床研究[J]. 華西醫學, 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. 　陳瑤, 邱原剛, 朱建華, 等. 經不同血管經路行冠狀動脈介入治療對患者心理狀況的影響[J]. 中華心血管病雜志, 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. 冠狀動脈病變經橈動脈途徑介入治療臨床研究[J]. 華西醫學, 2010, 25(10): 1789-1791.

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

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