Effect Analysis Of Two Femoral Artery Puncture Methods In Treatment Of Lower Extremity Arteiral Occlusive Disease

Objective To discuss the clinical effect of antegrade femoral artery puncture andcontralateral retrograde puncture method in treatment of lower extremity arterialocclusive disease.Methods33patients with lower extremity arterial occlusive disease admitted to ourhospital from January2007to September2011were rated randomly. The study groupwas treated with antegrade femoral artery puncture in17patients, and the control groupwith contralateral retrograde puncture method. Mutivariate model were generated toanalysis the difference in incidence of complications, operation achievement rate,operation time, the cost of operation, the limb ankle-brachial index (ABI) inpostoperative1W,1Mo and6Mo, blood flow velocity measured by ultrasound and otherrelated indicators. Satistical analysis wasn’t performed with the Statistical Package ofSocial Sceences(SPSS, inc).Results Incidence of complications, operation successful rate of the study group withantegrade femoral artery puncture method were4.5%and86.4%, while,36.8%and68.4%of the control group, respectively. Incidence of complications, operationachievement rate were significantly different between the two groups (P>0.05).Operation time of the study group ranged from60minutes to150minutes, and themean time is125±15minutes. In the control group, Operation time ranged from70minutes to190minutes, and the mean time is185±8minutes. Operation time weresignificantly different between the two groups (P>0.05). As well as the limb ankle-brachial index (ABI) in postoperative1Mo and6Mo, blood flow velocity measured by ultrasound were significantly different between the two groups (P>0.05)Conclusion The therapy of antegrade femoral artery puncture PTA in treatment oflower extremity arterial occlusive disease is safe and effective. Patients treated with thistherapy had a lower incidence of complications, operation time and a better prognosis.