心导管术后经皮动脉血管封堵器的临床应用

Clinic application of suture-mediated closure after catheterization procedures

目的比较经皮冠状动脉介入术后,股动脉穿刺口采用Angio-Seal血管封堵器与局部人工压迫止血方法的疗效与安全性。方法196例进行心导管检查的患者,随机分为股动脉穿刺口人工压迫止血组(82例,其中冠状动脉造影术36例,冠状动脉成形术46例)和血管封堵器止血组(114例,其中冠状动脉造影术52例,冠状动脉成形术62例),观察止血时间、并发症及成功率。结果Angio-Seal血管封堵器与局部人工压迫止血法比较,止血时间明显缩短,并发症减少,成功率相当。结论Angio-Seal血管封堵器在掌握好适应证的前提下,可广泛应用于经皮冠状动脉手术后股动脉穿刺口的处理。

Objective To assess the safety and efficacy of Anglo-Seal suture-mediated closure after cardiac catheterization procedures. Methods 196 patients underwent cardiac catheterization procedures were divided into manual compression group（82 cases, 36 cases underwent coronary angiography, 46 cases underwent coronary interventional procedures） and suture-mediated closure group（ 114 cases, 52 cases underwent coronary angiography, 62 cases underwent coronary interventional procedures）. The hemostasis time, vascular complications and success rate were assessed. Results Comparing to manual compression group, the hemostasis time and vascular complications of Angio-Seal suture-mediated closure had been evidently decreased. Conclusion Angio- Seal suture-mediated closure is applicable for patients with cardiac catheterization procedures.