Comparative study of the efficacy of transbrachial and transfemoral approaches for percutaneous renal artery stenting
LIU Xinlin1, ZHAO Jihong1, ZHOU Binwei1, ZHAO Xiaochuan1, and SUN Tao2
1.Department of Cardiology, Affiliated Hospital, Logistics College of Chinese People’s Armed Police Force, Tianjin 300162, China; 2.. Department of Clinical Laboratory, General Hospital of Chinese People’s Armed Police Force, Beijing100039, China
Abstract：Objective To compare the safety and efficacy of transbrachial and transfemoral approaches for percutaneous renal artery stenting (PTRAS).Methods The clinical data of 132 patients with renal artery stenosis (RAS) who underwent PTRAS were retrospectively analyzed. The clinical data and interventional operation parameters of patients treated with brachial artery and femoral artery were compared.Results The preoperative systolic blood pressure (150.72±22.57) mmHg in all patients (n=132) significantly decreased compared with the postoperative systolic blood pressure (136.67±20.43) mmHg (t=4.974, P<0.01). And the difference was statistically significant (t=4.418, P<0.01) between the preoperative diastolic blood pressure (81.46±12.19) mmHg and the postoperative diastolic blood pressure (76.52±10.45) mmHg. Six months after operation, all patients were followed up, compared with the preoperative, the systolic blood pressure (132.20±20.42) mmHg and the diastolic blood pressure(74.22±10.57)mmHg significantly decreased, and the difference was statistically significant (P<0.01). There was no significant difference between the two groups in the degree of stenosis, the average length of the stent, the average diameter of the stent, the bleeding complications, the average operation time and the dosage of the contrast agent.Conclusions The transbrachial approach is an effective alternative transfemoral approach in the PTRAS.
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LIU Xinlin, ZHAO Jihong, ZHOU Binwei, ZHAO Xiaochuan, and SUN Tao. Comparative study of the efficacy of transbrachial and transfemoral approaches for percutaneous renal artery stenting. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(6): 561-564.
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