Angioseal动脉闭合器在老年冠心病冠脉介入术后的临床应用

A Clinical Study of the Hemostatic Effect by the Use of Angioseal Closure in Old Coronary Heart Disease After Coronary Artery Interventions

目的评价在老年冠心病冠脉介入术后,穿刺动脉应用血管闭合器Angioseal止血的安全性及Angioseal闭合器的临床应用价值。方法68例老年冠心病患者经股动脉介入术后,分为两组,甲组32例应用Angioseal闭合器;乙组36例应用手压止血作为对照组。观察止血时间、操作时间、下肢制动时间及血管并发症。结果应用Angioseal闭合器,止血时间48秒±31秒,绝对制动时间3.0h±0.7h,相对制动时间2.8h±0.8h,l例血肿。对照组止血时间36分±17分,相对制动时间16.8h±4.7h小时,绝对制动时间为19.7h±5.8h,8例血肿。结论AngioSeal闭合器是一种安全、可靠的止血方法,与手压止血比较,操作简单,明显缩短了止血时间及制动时间,穿刺部位血管并发症少,方便了老年冠心病冠脉介入患者及医务工作者。

Objective To compare the safety and efficacy of Angioceal closure or hand compressionssion applied to femoral artery puncture site after coronary intervnions.Methods 68 patients were divided into two groups.Group I consisted of 32 patients with angiseal closure.Group Ⅱ consisted of 36 patients with hand compression.It was recorded that the time of achieved hemostasis,limited pelvic limb and opesalmg time,as well as the complications.Results The success rate of Angioseal closurer device was.hematoma occurred in 1 patient.The time of achieved hemostasis was 48sec±31sec,and limited pelvic limb was 3.0h±0.7h.while the hand compression was,the time of achieved successful hemostasis was 36min±17min,and limited pelvic limb was 19.7h±5.8h,hematoma occurred in 8 patients.Conclusion It is much better than hand compression tha the Angioseal device is a safe,effective and simple method to achieve immediate hemastasis after coronary intervention and shorten bed rest time,and also reduce the vascular complications.