Coronary angiography and percutaneous coronary intervention through single transradial guiding MAC
XU Rong
GUO Jin-cheng
MA Chang-sheng
WANG Guo-zhong
GAO Guo-wang
ZHANG Zheng-hai
WANG Yu-ping
ZHU Fu-li
Abstract：Objective To review the safety and efficacy of single transradial guiding MAC applied in coronary angiography (CAG) and percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI).Methods The patients (n=72, male 53, female 19 and average age: 59.1±12.2) were chosen from Aug. 2013 to Dec. 2013, and then divided into control group and MAC group (eachn=36). The control group was treated with routine CAG and then with MAC3.5 for PCI, and MAC group was treated directly with MAC3.5 for CAG and PCI. The time of C2B, time of D2B, contrast doseage, the total operation time, radiological time, product of radiological dose area and complications at puncture site were recorded.Resutls The difference in TIMI flow grading, drug administration and intervention operation had no statistical significance between 2 groups before/after PCI (allP>0.05). Compared with control group, in MAC group time of C2B, [(22.58±9.94) minvs. (18.38±5.43) min], the total operation time, [(37.65±12.51) minvs. (29.64±11.26) min] and radiological time [(10.68±4.42) minvs. (7.80 ±4.24) min] decreased (allP<0.05). The product of radiological dose area decreased in MAC group compared with control group (P<0.05). The difference in percentage of patients with hematoma at puncture site had no statistical significance between 2 groups (2.78%vs. 2.78%,P<0.05).Conclusion The application of single transradial guiding MAC can shorten time of C2B and radiological time, and is safe and effective in patients with STEMI undergone CAG and PCI.
Keywords：Myocardial infarctionAngioplastyPercutaneous coronary interventionCoronary angiography
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 676-678 )