Therapeutic effects of percutaneous coronary intervention via radial artery approach on acute myocardial infarction

DENG Sisi; WANG Derong; WEI Chaoyang

doi:10.3969/j.issn.1002-7386.2016.20.013

Abstract：Objective To observe the therapeutic effects of percutaneous coronary intervention ( PCI ) via radial artery approach on acute myocardial infarction.Methods Two hundred and thirty-six patients with acute myocardial infarction who were admitted and treated in our hospital from Junuary 2011 to Junuary 2014 were randomly divided into observation group ( n =129) and control group ( n =107).The patients in control group were treated by PCI via femoral artery approach, however,the patients in observation group were treated by PCI via radial artery approach.The therapeutic effects ,incidence rates of complications and cadiovascular events ( CE) were observed and compared between two groups.Results There were no significant differences in the results of contrast examination and the data about PCI between two groups ( P >0.05).The time of lying in bed, length of staying in hospital, the incidence rate of TIMI at perioperative period and incidence rate of vascular complications in observation group were (4.11 ±1.73) h, (3.14 ±0.57) d, 5.43% and 21.71%, respectively, which were significantly lower than those in control group ( P <0.05).However there were no significant differences in the the incidence rate of TIMI hemorrhoea at perioperative period, incidence rate of CE during hospitalization and incidence rate of CE on 1 year and 2 years after operation between two groups ( P >0.05).Conclusion The therapeutic effects of PCI via radial artery approach on acute myocardial infarction are the same as those of PCI via femoral artery approach,however, the incidence rates of complications by PCI via radial artery approach are lower,and the time of lying in bed is shorter,thus,which is worth using widely in clinical practice.