StarClose血管闭合器封闭股动脉穿刺点的临床应用

Clinical application of StarClose vascular closure device in the closing of femoral artery puncture site

目的介绍使用StarClose血管闭合器的临床经验。方法78例外周血管介入治疗患者术后使用StarClose血管闭合器闭合股动脉穿刺点,16例患者在同一穿刺部位多次使用闭合器,观察其止血成功率和血管并发症。2min内完全停止渗血的病例,设定为止血成功,渗血时间超过2min需要徒手压迫止血的病例,则设定为止血失败。结果闭合器的平均操作时间为(30±10)s,平均止血时间为(12±11)s。止血成功率为96%,在同一穿刺部位多次使用闭合器的止血成功率为100%。所有止血成功患者术后2h身体无需制动。无任何严重并发症。3例患者术后12h发现穿刺点皮下少量渗血,轻微并发症的发生率为3.2%。结论外周血管介入治疗患者术后使用StarClose血管闭合器可以安全、有效地闭合股动脉穿刺点,在同一穿刺部位可以多次使用StarClose血管闭合器。

Objective To present clinical experience in using StarClose vascular closure device in patients undergoing peripheral vascular interventions. Methods StarClose vascular closure devices were used in 78 patients receiving peripheral vascular interventions in order to close the femoral areriotomies, of which the device was repeatedly used at the same puncture site in 16. Successful hemostasis and vascular complications were observed. Successful hemostasis was defined as the blood oozing completely stopped within 2 min after StarClose deployment, while failure of hemostasis was defined as the blood kept oozing over 2 min after the procedure and manual compression was needed to stop bleeding. Results The mean procedure time for StarClose deployment was (30 ± 10)sec and the mean time for hemostasis was (12 ± 11)sec. Successful rate of hemostasis was 96%, and it was 100% in patients with repeated use of StarClose device. All the patients with successful hemostasis did not need to keep their body still in 2 h. after the surgery. No serious complications occurred. Slight blood oozing was seen in 3 patients 12 h after the procedure. The occurrence of mild complications was 3.2%. Conclusion StarClose vascular closure device can be used to close the femoral puncture site after peripheral vascular interventional procedures with safety and effectiveness, moreover, it can be repeatedly used at the same puncture site.