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首页> 外文会议>International Congress on Coronary Artery Disease >Transradial versus Transfemoral Approach for Chronic Total Occlusion of Coronary Arteries: Feasibility and Predictors of Success.
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Transradial versus Transfemoral Approach for Chronic Total Occlusion of Coronary Arteries: Feasibility and Predictors of Success.

机译：血管腺系动脉慢性总闭塞的血管腺系与转发方法：成功的可行性和预测因子。

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摘要

Although the transradial approach (TRA) has been shown to reduce vascular complications, the transfemoral approach (TFA) remains as the most used vascular access for percutaneous coronary interventions (PCI) in chronic total occlusion (CTO). From January 2006 to January 2011, 5.187 PCI were performed in our hospital, being 263 (5%) CTO. Of these, 80% were done by TRA and 20% by TFA, performed all by anterograde route. Patients with TRA had shorter mean fluoroscopy time (25+-13 vs 34+-19 minutes; p< 0.001) and mean procedure time (58+-26 vs 79+-39 minutes; p< 0.001) compared with the group of patients with TFA. Success rates and final TIMI flow III was achieved in 77.5% of patients with TRA compared to 61.1% with TFA (p=0.02). Lesion length <25mm (OR 2.445[95% CI 1.175-5.089]), non-calcified lesions (OR 2.516[95% CI 1.184-5.349]) and transradial vascular access (OR 2.713[95% CI 1.158-6.355]) were found as the main predictors of procedural success. TRA is a feasible option as initial vascular access in CTO lesions in selected cases.
机译：虽然已经显示颅脑方法（TRA）降低血管并发症，但经帧生方法（TFA）仍然是慢性总阻塞（CTO）的经皮冠状动脉干预（PCI）最常用的血管进入。从2006年1月到2011年1月，5.187 PCI在我们的医院进行，是263（5％）CTO。其中，80％通过TRA和20％通过TFA进行，通过前进路线进行全部进行。 TRA患者的平均透视时间短（25±13 Vs 34 + -19分钟; P <0.001）和平均程序时间（58±26 vs 79 + -39分钟; P <0.001）与患者组相比用tfa。成功率和最终时间流动III在77.5％的TRA患者中实现，而TFA的61.1％（P = 0.02）。病变长度<25mm（或2.445 [95％CI 1.175-5.089]），非钙化病变（或2.516 [95％CI 1.184-5.349]）和颅血管进入（或2.713 [95％CI 1.158-6.355]）发现作为程序成功的主要预测因子。 TRA是选择案例中CTO病变中的初始血管接入的可行选择。

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