血管闭合器的应用现状和进展

The application and progress of vascular closure devices

外周血管径路是微创心血管外科及心血管介入诊疗的重要途径,手术后入路血管的处理方式直接关系到患者的术后制动时间及舒适度。传统的处理方法主要包括穿刺点压迫固定或切开皮肤缝合血管,术后长时间制动、血管潜在并发症及患者舒适性差等缺点显而易见。血管闭合器的应用可以减少传统处理方法的缺点,但是不同血管闭合器有其自身特点和应用范围,甚至应用不当可能会导致严重并发症的发生。本文综述了当前常用的几款血管闭合器资料以及近年来相关的临床研究数据,对常用血管闭合器的特点、使用方法及临床应用效果作一介绍。

Peripheral vascular path is an important approach for minimally invasive cardiovascular surgery and cardiovascular interventional diagnosis and treatment,and the treatment of the vascular approach after surgery is directly related to the postoperative braking time and comfort of patients.The traditional treatment methods mainly include compression fixation of puncture point or incision of skin to suture blood vessels,but the disadvantages such as long postoperative immobilization,potential vascular complications and patient discomfort are obvious.The application of vascular closure devices can reduce the shortcomings of traditional treatment methods,but different vascular closure devices have their characteristics and application scope,and improper application may lead to serious complications.This paper reviewed the information of several commonly used vascular closure device and relevant clinical research data in recent years,and introduced the characteristics,application and clinical effects of common vascular closure devices.