Effects of different puncture approaches on the curative effect and safety of patients with combined cardiovascular and cerebrovascular angiography

Abstract

Abstract Objective To compare the curative effect and safety of transradial artery approach and transfemoral artery approach in combined heart-brain angiography.Methods 120 patients who received combined cardio-cerebral angiography in our hospital were selected and divided into a transradial artery approach group (TRA) and a transfemoral artery approach group (TFA) according to the random number table. The postoperative efficacy and safety of the two groups were compared.Results There was no statistically significant difference in puncture time and operation time between the two groups ( P > 0. 05). Postoperative bed rest time, hospitalization time, and X-ray exposure time in the TRA group were shorter than those in the TFA group, and the difference was statistically significant ( P < 0. 05). Before operation and 3 days after operation, there was no significant difference in LVEF between the two groups ( P > 0. 05). The overall incidence of complications in the TFA group was higher than that in the TRA group. The incidence of hematoma and pseudoaneurysm in TFA group was higher, and the difference was statistically significant (P < 0.05).Conclusions For simultaneous heart-brain angiography, interventional therapy via radial artery and femoral artery has good curative effect and can improve cardiac function. However, interventional therapy through the radial artery can shorten the postoperative bed rest time and hospitalization time, and reduce the incidence of complications.