超声指导下压迫与局部加压包扎修复冠状动脉介入术后假性动脉瘤

Comparison of pressure bandage with ultrasound-guided compression for pseudoaneurysms after percutaneous coronary intervention

目的 比较超声指导下压迫与局部加压包扎修复两种方法治疗冠状动脉介入术后出现的假性动脉瘤。方法 将 10 5例股动脉假性动脉瘤的患者根据治疗方法的差异分为超声指导下压迫组和局部加压包扎修复组 ,比较其临床情况和治疗效果。结果 两组在性别、年龄、体重、体重指数、介入类型、动脉鞘管直径、是否应用抗血小板药物和低分子肝素、介入术中收缩压和舒张压水平方面差异均无显著性。超声指导下压迫治疗组的成功率明显高于局部加压包扎组 (85 %比 6 3% ,P =0 0 3)。两组均未出现与治疗相关的并发症。结论 超声指导下压迫操作简单 ,费用低 ,并发症少 ,可以作为治疗假性动脉瘤的首选方法。

Objective To compare the effects of pressure bandage with ultrasound-guided compression repair (UGCR) for femoral artery pseudoaneurysms (FAPs) after percutaneous coronary intervention. Methods One hundred and five patients with FAPs were enrolled in the study. Patients were classified into 2 groups (UGCR vs pressure bandage) according to different treatment modalities,and clinical status and therapeutic effects were compared. Results There were no differences between the two groups in gender,age,body mass index,type of intervention,sheath size,anti-platelet agents,low molecular weight heparin,systolic blood pressure and diastolic blood pressure during the procedure. The successful repair rate was higher in the UGCR group than that of the pressure bandage group (85% vs 63%,P =0.03). No complications occurred in both groups. Conclusion UGCR is simple and safe with low cost and complications,which can be used preferably for FAPs repair.