Perclose血管缝合器在老年患者冠状动脉介入治疗中的临床应用

Safety and efficacy of arterial closure device(Perclose) in the elderly undergoing coronary angioplasty

目的评价Perclose血管缝合器在老年冠状动脉介入治疗患者中使用的安全性和可行性。方法将110例接受冠状动脉介入治疗的老年患者随机分为Perclose血管缝合器组(Perclose组)与人工按压组。观察Perclose血管缝合器的成功率与术后并发症的发生率。结果Perclose组止血成功率为96%,无并发症发生。人工按压组有2例血肿,1例假性动脉瘤发生。结论Perclose血管缝合器在老年患者介入治疗中使用有良好的可行性和安全性。

To assess the efficacy and safety of arterial closure devices （Perclose） in the elderly. Methods 110 patients undergoing coronary angioplasty were randomized to manual compression group or Perclose group. The procedural success rate was recorded in the Perclose group. The complications in arterial access site were recorded. Results The success rate was 96 % in Perelose group. No complication in Perclose group was observed. There were two cases of hematoma and one case of pseudoaneurysm in manual compression group. Conclusion Arterial closure device（Perelose） is feasible and safe in old patients undergoing coronary angioplasty.