관상동맥 조영술 및 중재술시 요골동맥과 대퇴동맥의 사용에 관한 비교연구

Abstract

Coronary angiography and interventional study mostly use the methods of radial artery and Femoral artery. The results of 116 patients (65.% male with an average age of 63.3±11.54)who had Coronary angiography and interventional study treatments from June 12th, 2014 to September 2nd, 2014 at the Chonnam National University Hospital were analyzed. For patients who had an angiography with interventional study treatment were divided into two groups (group 1: radial artery, group 2: femoral artery) and analyzed. For the group that used the radial artery the frequency of Coronary angiography interventional study was lower (19.5% vs. 55.9%, p<0.001), and the inner radius was smaller (5.20±0.429french vs. 6.18±0.999french, p<0.001), and the amount of contrast media used was smaller (66.8±43.30cc vs. 105.7±60.30cc, p=0.001). However, there was no difference for gender, age, BMI, type of artery, radiation exposure duration and amount. In the sub-analysis, for the group that only had the Coronary angiography without the interventional study treatment and where the radial artery, the radiation exposure duration was longer than that of the group that used the femoral artery (392.30±205.263sec vs. 282.13±82.984sec, p=0.002). However, there were no differences for the other parameters. Also, for the group that had both the Coronary angiography and interventional study treatment showed no difference for all parameters. In conclusion, it can be stated that Coronary angiography that uses the radial artery and interventional study treatment, which is widely know to be comfortable for the patient and to also lower the risk for hemorrhaging, is a better and safer treatment method.