Application Effect of Percutaneous Radial Artery Puncture versus Femoral Artery Puncture in Coronary Intervention for Elderly Patients with Coronary Artery Disease
Objective To investigate the application effect of percutaneous radial artery puncture versus femoral artery puncture in coronary intervention for elderly patients with coronary artery disease.Methods A total of 210 elderly patients with coronary artery disease who were admitted to Changle District People's Hospital from June 2021 to November 2023 were enrolled,and according to the procedure for puncture in interventional treatment,they were divided into radial artery group and femoral artery group,with 105 patients in each group.The patients in the radial artery group received radial artery puncture,and those in the femoral artery group received femoral artery puncture.The two groups were compared in terms of puncture indicators,surgical conditions,recovery,and complications.Results As for the puncture indicators,compared with the femoral artery group,the radial artery group had a significantly lower average number of punctures,a significantly longer time to successful puncture,a significantly shorter time of sheath implantation,and a significantly shorter bleeding time(all P＜0.05).As for the surgical conditions,compared with the femoral artery group,the radial artery group had a significantly higher first-attempt success rate of puncture and significantly higher success rates of imaging and surgery(all P＜0.05).As for the condition of recovery,compared with the femoral artery group,the radial artery group had a significantly lower Visual Analogue Scale score on days 1 and 3 after surgery and a significantly shorter length of hospital stay(all P＜0.05).The radial artery group had a significantly lower incidence rate of postoperative complications than the femoral artery group(3.81％vs 11.43％,P＜0.05).Conclusion Both percutaneous radial artery puncture and femoral artery puncture can be used in coronary intervention for elderly patients with coronary artery disease.In comparison,percutaneous radial artery puncture has more advantages in elderly patients with coronary artery disease,such as a high first-attempt success rate of puncture,a short time of sheath implantation and bleeding,fast postoperative recovery,and a low risk of complications.
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