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|本期目录/Table of Contents|

经股动脉无肝素及肝素化冠状动脉造影并发症比较

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2010年第3期
页码:
428-429
栏目:
临床研究
出版日期:
2010-04-06

文章信息/Info

Title:
Comparison of complications in femoral artery puncture with or without heparin
作者:
周赟; 王骏; 张雁; 黄少华; 王鸣和; 唐琦; 吴雯静
上海市静安区中心医院心血管内科，上海 200040
Author(s):
ZHOU Yun;  WANG Jun;  ZHANG Yan;  HUANG Shao-hua;  WANG Ming-he;  TANG Qi;  WU Wen-jing
Department of Cardiology, Central Hospital of Jingan District, Shanghai 200040, China
关键词:
肝素; 造影; 股动脉
Keywords:
heparin;  angiography;  femoral artery
分类号:
R814.43
DOI:
-
文献标识码:
A
摘要:
目的: 评价无肝素化经股动脉心血管造影的安全性及其减少穿刺并发症的有效性。方法: 300例患者接受经股动脉冠状动脉造影检查， 随机分为两组（无肝素组150例，肝素组150例），分别记录造影术后穿刺部位巨大血肿、动静脉瘘、腹膜后血肿、假性动脉瘤、迷走反射、血管栓塞等并发症。 结果: 所有患者均成功插管，拔管后两组均无栓塞并发症，而肝素组穿刺部位并发症显著增高（P<0.05）。结论: 无肝素造影安全可靠，不会增加栓塞并发症，同时可显著减少穿刺部位并发症。
Abstract:
AIM: To evaluate the safety of non-heparin administration in coronary angiography through femoral access. METHODS: A total of 300 patients underwent coronary angiography and were randomly divided into two groups. Complications that included hematoma, fistula, pseudoaneurysm, retroperitoneal hemorrhage, thrombotic occlusion and vasovagal reaction were recorded, respectively. RESULTS: No thrombotic occlusion was seen in either group, but heparin group had a higher rate of complications and hemorrhage than in the non-heparin group (P<0.05, 12% and 2%, respectively). CONCLUSION: Angiography using femoral artery access without heparin is a safe procedure and decreases puncture complications after sheath removal.

参考文献/References

［1］ Rooke TW. Vascular complication of interventional procedures［J］. Radiology, 1981, 138(2):273-281.

［2］Sackett WR, Taylor SM, Coffey CB, et al. Ultrasound-guided thrombin injection of iatrogenic femoral pseudoaneurysm: a prospective analysis［J］. Am Surg, 2000, 66(10):937-942.

［3］Reeder SB, Wildlus DM, Lazinger M. Low-dose thrombininjection to treat iatrogenic femoral artery pseudoaneurysms［J］. Am J Roentgenol, 2001,177(3):595-598.

备注/Memo

备注/Memo:
收稿日期:2008-04-09.通讯作者：王骏，副主任医师，主要从事心脏病介入及电生理 起搏研究Email:wangjun@medmail.com.cn 作者简介：周赟，主治医师Email:zhouyun2326@hotnail.com
更新日期/Last Update: 2010-04-09