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《Chinese Journal of Clinical Medicine》 2017-03
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The effectiveness and safety of balloon-assisted tracking technique guiding catheter through the spastic radial artery

HUANG Zhe-yong;CHEN Jing;SHI Hong-tao;YANG Hong-bo;SONG Ya-nan;DAI Yu-xiang;LI Chen-guang;WANG Qi-bing;QIAN Ju-ying;GE Jun-bo;Department of Cardiology,Zhongshan Hospital,Fudan University;  
Objective:To evaluate the safety and efficacy of balloon-assisted tracking(BAT)technique in guiding the catheter through the spastic radial artery via percutaneous coronary intervention.Methods:The data of patients who received coronary intervention through the transradial approach in Department of Cardiology of Zhongshan Hospital Affiliated to Fudan University from June 2014 to September 2016 were retrospectively analyzed.69 cases of radial artery and/or brachial artery spasm were selected,of which 24 cases were treated with BAT technique(group BAT),and 45 cases were treated by the conventional method(conventional group).The success rate of the catheter through the spastic segment and the incidence of related complications were compared between the two methods.Results:In the BAT group,the guide catheter was successfully negotiated across the spastic segment or dissecting vessels in all 24cases(100%),while in only 14cases(31.1%)in the conventional group(P=0.000).Guide catheter traversing the spastic segment within 5min,between 5min and 15 min,and more than 15 min was seen in 20(83.3%),3(12.5%)and 1(4.2%)patients in the BAT group,while in 2(14.3%),6(42.9%)and 6(42.9%)patients in the conventional group,respectively(P=0.000).Incidence of forearm hematoma was8.3% and 20%in the BAT group and the conventional group,and the difference was not statistically significant.Conclusions:The BAT technique is a safe and effective way to guide the catheter through the spasm of radial and/or brachial artery via percutaneous coronary intervention.BAT is superior to the conventional technique.
【Fund】: 国家自然科学基金(81370003 81570223);; 国家重点研发计划(2016YFC1301200)~~
【CateGory Index】: R541.4
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 NI Zhu-hua;WANG Le-feng;YANG Xin-chun;WANG Hong-shi;XU Li;LI Wei-ming;XIA Kun;LIU Yu;HE Ji-fang;CHI Yong-hui;ZHANG Da-peng;DENG Jun-ping;WANG Yi-min;LIU Guang-jun;ZHANG Xiao-liang;ZHAO Jian-hong;ZHANG Ji-qiang;LIU Jia-sheng;QI Shu-ying;Heart Center of Beijing Chaoyang Hospital,Institute of Cardiovascular Disease,Capital Medical University;;Feasibility study of guiding catheter passing through spasmodic vessels during percutaneous coronary intervention via radial artery access by the aid of PCI guiding wire and balloon[J];中国介入心脏病学杂志;2016-06
【Co-citations】
Chinese Journal Full-text Database 1 Hits
1 HUANG Zhe-yong;CHEN Jing;SHI Hong-tao;YANG Hong-bo;SONG Ya-nan;DAI Yu-xiang;LI Chen-guang;WANG Qi-bing;QIAN Ju-ying;GE Jun-bo;Department of Cardiology,Zhongshan Hospital,Fudan University;;The effectiveness and safety of balloon-assisted tracking technique guiding catheter through the spastic radial artery[J];中国临床医学;2017-03
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 Dai Jun, Yao Min, Qiao Shubin, et al. Center of Coronary Heart Disease, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC,Beijing(100037);Ananlyzing the Causes of Procedural Failure and Complications of Coronary Angiography Throngh Right Radial Approach[J];中国循环杂志;2004-03
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