Construction of decision tree model of complications after cerebrovascular angiography through different arterial pathways
Objective To observe the incidence of complications in total cerebral angiography performed via transradial approach and transfemoral approach,and to explore the intervention strategies of complications.Methods From January 2021 to January 2022,43 patients who underwent total cerebral angiography via transradial approach in the 909th Hospital of Joint Logistics Support Force were retrospectively selected as the observation group,and 50 patients who underwent total cerebral angiography via transfemoral approach during the same period were selected as the control group.The intraoperative complications of two groups were collected,and the surgical indicators of two groups were compared,and intervention strategies were explored according to the causes of complications.Results The total surgical time of the observation group was significantly shorter than that of the control group(P<0.05).There was no subcutaneous hematoma observed in the observation group,while there were 5 cases(10.00%)in the control group,and there was statistically significant difference(P<0.05).There was no statistically significant difference in the total incidence of complications between two groups(P>0.05).The results of univariate analysis showed that hypertension and hyperlipidemia were suspected influencing factors for the occurrence of complications in patients.The analysis results of the constructing the decision tree model showed that the probability of complications in patients with hypertension was 35.1%,which was significantly higher than 5.6%in patients without hypertension,and the prediction accuracy was 76.3%.Conclusion Compared with digital subtraction angiography(DSA)of femoral artery,DSA performed through radial artery puncture can shorten surgical time,reduce the incidence of subcutaneous hematoma,and the overall incidence of complication is not high.It has a certain level of safety.
total cerebral angiographyradial arteryfemoral arterycomplications
万方数据
维普
