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|本期目录/Table of Contents|

冠状动脉介入诊疗术后两种止血方法的比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2005年第3期
页码:
258-259
栏目:
介入治疗
出版日期:
2005-05-05

文章信息/Info

Title:
Comparative study of two hemostasia methods after percutaneous coronary intervention
作者:
王晓燕; 王海昌; 曹丰; 党米禅; 李成祥
第四军医大学西京医院心脏内科, 陕西 西安 710032
Author(s):
WANG Xiaoyan;  WANG Haichang;  CAO Feng;  DANG Michan;  LI Chengxiang
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi’an, Shaanxi 710032, China
关键词:
血管缝合器; Angioseal; 造影; 冠状动脉;  介入治疗; 冠状动脉
Keywords:
vascular closure devices; angioseal ;  angiography; coronary ;  percutaneous coronary intervention
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 比较冠状动脉诊疗术的冠状动脉介入术（PCI）及冠状动脉造影术（CAG）后，传统压迫法与采用Angioseal缝合器止血法的制动时间和并发症发生率，为术前指导和术后护理提供依据。方法 CAG及PCI患者214例按止血方法不同分为传统压迫止血组和血管缝合组，比较两组术后制动时间和并发症的发生率。结果 采用Angioseal缝合法成功率达100％，与压迫法止血比较下肢制动时间不论单纯CAG还是PCI均显著缩短 (P<0. 01)，缝合法术后并发症的发生率如渗血、局部血肿、迟发出血(第3天以后,至1周)、心迷走反射等显著低于传统压迫止血组 (P<0.01)。结论 Angioseal缝合器止血较传统压迫止血护理操作简便，安全性高，并发症少。
Abstract:
AIM To compare the complications and bed rest time of Angioseal device with manual compression for closure of femoral puncture sites and provide clinic data for the per-procedure nursing in patients undergoing percutaneous procedure. METHODS Two hundred and fourteen consecutive patients undergoing angiography (126 patients) or coronary intervention ( PCI 88 patients) were included in this study. We used the Angio-Seal device in 84 patients for closure of femoral arterial puncture sites immediately after diagnostic (n=47) or interventional (n=37) coronary procedures independent of the coagulation status. The patients in control group (n=130)were used manual compression for closure of femoral puncture sites. The related complications and bed rest time of both groups were investigated. RESULTS The closure device was successfully deployed in 100% after percutaneous procedure. Bed rest time in Angioseal group was decreased significantly compared with the control group (P<0.01). Major bleeding complications (hemorrhage, bleeding, local haematoma and pneumogastric nerve reflex) in Angioseal group were also decreased significantly compared with the control group (P<0.01). CONCLUSION The AngioSeal device is a safe and effective device with a low rate of major complications and easily nursing care.

参考文献/References

［1］ Spokojny AM, Sanborn TA. Management of the arterial puncture site［J］. J Intervent Cardiol,1994,7:187-193.

［2］Heintzen MP, Strauer BE. Peripheral arterial complications after heart catheterization［J］. Herz， 1998,23:4-20.

［3］EPIC investigators. Use of monoclonal antibody directed against the platelet glycoprotein (GP) IIb/IIIa receptor in high risk coronary angioplasty［J］. N Engl J Med， 1994, 330:956-961.

［4］ Exaire JE, Dauerman HL, Topol EJ, et al. Triple antiplatelet therapy does not increase femoral access bleeding with vascular closure devices［J］. Am Heart J, 2004,147(1):31-34.

［5］ Coto HA. Closure of the femoral vein puncture site after transcatheter procedures using Angio-Seal［J］. Catheter Cardiovasc Interv, 2002,55(1):16-19.

备注/Memo

备注/Memo:
收稿日期：2004-07-15.
更新日期/Last Update: 2010-01-05