急性心肌梗死经桡动脉直接介入治疗改善预后的探讨

刘惠亮

武警医学 ›› 2012, Vol. 23 ›› Issue (4) : 277-280.

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刘惠亮

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摘要

近年来，随着器械和技术的进步，经桡动脉冠状动脉介入治疗(transradial intervention，TRI)广泛开展，国内某些有经验的中心TRI的比例占所有经皮冠状动脉介入治疗(percutaneous coronary intervention，PCI)90%以上，多数经股动脉可以完成的复杂冠状动脉病变类型，目前均可经桡动脉完成。经桡动脉介入治疗具有出血并发症低、患者舒适度高等优点，但在急性心肌梗死(acute myocardial infarction，AMI)中是否可以常规应用还存在一些顾虑，尤其是手术可完成性、手术延迟等方面。另外，急性心肌梗死患者一般都应用更强的抗凝、抗血小板药物，出血的风险高于常规择期PCI，众所周知的TRI降低出血并发症的好处在AMI直接PCI中是否更加明显？其降低出血的好处是否能带来真正的临床获益？笔者结合最新的临床试验及个人的临床实践就上述问题进行阐述.

Key words

急性心肌梗死 / 冠状动脉介入治疗 / 桡动脉

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刘惠亮. 急性心肌梗死经桡动脉直接介入治疗改善预后的探讨[J]. 武警医学. 2012, 23(4): 277-280

中图分类号： R542.22

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