摘要
目的观察Angio-Seal血管闭合器的疗效及安全性.方法行选择性冠脉介入诊疗的患者114例,其中冠脉造影53例,行PCI 61例;男性82例,女32例,平均年龄(63±10.8)岁(32～85岁).在冠脉介入诊疗后行右股动脉造影,证实动脉穿刺处无粥样硬化斑块及大血管分支后,分定位、放锚、封堵动脉三步释放Angio-Seal血管闭合器.结果 114例成功释放113个,成功率为99.1%.主要并发症为出血,共有7例发生穿刺处出血,1例形成假性动脉瘤.未见患肢远端栓塞及全身过敏现象.结论该方法操作简单、成功率高、止血迅速、疗效显著、卧床时间短,证明应用Angio-Seal封堵动脉穿刺口是安全的,有推广应用的价值.
Objective To evaluate the clinical efficiency and safety of Angio-Seal arterial closure device in the patients after cardiac catheterization. Methods 114 patients who met the criteria were treated with Angio-seal. A total of 53 patients underwent coronary angiography and 61 patients underwent percutaneous coronary intervention. Immediately after the procedure, the arterial sheath was removed and the closure device was deployed. Results The rate of successful deployment was 99.1% (113/114). Major vascular complications were observed in 7/113 (7.9%) of all patients. Access bleeding was seen in seven patients, among which one suffered from pseudoaneurysm. Conclusion The study demonstrates that haemostasis with angio-seal device after both diagnostic and interventional procedures is a very fast and an effective method, which can be safely and effectively utilized to achieve haemostasis after femoral artery access.
出处
《临床军医杂志》
CAS
2005年第1期44-46,共3页
Clinical Journal of Medical Officers
关键词
经皮介入
并发症
血管闭合器
percutaneous
intervention
complication
arterial closure
angio-seal
