评估Perclose Proglide血管缝合器在胸主动脉夹层腔内修复术中的应用

Application of Perclose Proglide vascular closure devices in endovascular repair of thoracic aortic dissection

目的探讨Perclose Proglide血管缝合器在胸主动脉夹层腔内修复术(TEVAR)中的应用价值。方法回顾性分析在我科采用TEVAR治疗Standford B型主动脉夹层患者106例,术后1个月、1年行CTA复查,分别测量术前、术后1个月、术后1年穿刺区股动脉直径大小。结果 106例患者均顺利完成覆膜支架腔内隔绝术,共使用223把缝合器,其中97例患者2把缝合器,7例患者3把缝合器,2例患者4把缝合器。术前、术后1个月、术后1年CTA测量穿刺区股动脉直径比较差异无统计学意义(P均>0.05)。结论 Perclose Proglide血管缝合器在TEVAR中封闭股动脉穿刺道安全、可靠,且对股动脉管径无明显影响,值得推广。

Objective To investigate the application value of the Perclose Proglide vascular devices in the thoracic endovascular aortic repair （TEVAR） of aortic dissection. Methods Retrospective analysis of 106 patients who underwent TEVAR for Standford B type aortic dissection were performed. The femoral lumen was measured by CTA be fore, 1 month and 1 year after TEVAR. Results A total of 223 Perclose Proglide vascular closure devices were used in the 106 patients, including 97 patients with 2 devices, 7 patients with 3 devices, 2 patients with 4 devices. The puncture femoral artery diameters had no significant differences between before and 1 month, 1 year after TEVAR （all P 〉0.05）. Conclusion Perclose Proglide vascular closure devices can be effectively and safely used in the TEVAR, which has little influence on the femoral artery diameter, and is worth to be applied in the clinics extensively.