血管缝合器在老年PCI患者中的应用评价

Clinical evaluation of the vessel suture device in elderly patients receiving percutaneous coronary intervention

目的本文对331例经股动脉行冠状动脉介入治疗(PCI)后,应用血管缝合器缝合股动脉,评价老年PCI患者术后采用血管缝合器止血的有效性和安全性。方法PCI术后采用血管缝合器缝合股动脉331例。老年组(≥65岁)211例,平均年龄74.0±5.1岁;对照组(<65岁)120例,平均年龄55.4±5.8岁。观察两组间的血管缝合成功率、血管并发症的发生率。结果两组共331例,缝合成功310例,总成功率93.7%。其中老年组211例,缝合成功194例(占91.9%);对照组120例,缝合成功116例(占96.7%),两组间的缝合成功率比较无统计学意义(P>0.05),血管并发症两组间也无统计学意义(P>0.05)。结论老年PCI患者术后使用血管缝合器是安全的,并能有效预防出血并发症,建议在老年PCI病人中推广使用。

Objective To evaluate the efficacy and safety of the vessel suture device in elderly patients who underwent percutaneous coronary, intervention （PCI）. Methods 331 patients who used the vessel suture device in PCI through the femoral artery were divided into the elderly group （ ≥ 65 years with a mean of 74.0 ± 5.1 years） and the control group （ 〈 65 years with a mean of 55.4 ± 5.8 years）.The success rate of using the device and the incidence of vascular complications of the two groups were analyzed and compared. Results The overall success rate was 93.7% （310/331）. The success rate in the elderly group was 91.9% （194/211） and that in the control group was 96.7% （116/120）. The difference between the two groups was insignificant （P〉0.05）. Conclusions The vessel suture device is sate, and able to prevent hemon＇hagie complications effectively in elderly PCI patients, thus worthy of being further spread in elderly PCI patients.