[1]冯小弟,金贤,陈跃光,等.三种股动脉血管封堵器应用疗效比较[J].介入放射学杂志,2007,(06):411.
 FENG Xiao-di,JIN Xian,CHEN Yue-guang,et al.Efficiency comparison of3kinds of arterial puncture closing devices[J].journal interventional radiology,2007,(06):411.
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三种股动脉血管封堵器应用疗效比较()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年06期
页码:
411
栏目:
临床研究
出版日期:
2007-06-15

文章信息/Info

Title:
Efficiency comparison of3kinds of arterial puncture closing devices
作者:
冯小弟金贤陈跃光
201100上海市闵行区中心医院心内科
Author(s):
FENG Xiao-diJIN XianCHEN Yue-guangXIAO Hong-bingYU QiangCHEN Cheng-junZHANG Da-dong.
Department of Cardiology,Minhang Central Hospital,Shanghai201100,China
关键词:
血管封堵器心导管术
分类号:
R543.3
文献标志码:
A
摘要:
目的探讨3种股动脉血管封堵器应用效果和各自特点。方法回顾性分析1479例心导管术后患者,分徒手压迫、Angioseal封堵、Perclose封堵、Boomerang封堵等4种方式止血,观察记录实际制动时间、出血并发症和其他少见并发症情况,比较各自的特点。结果徒手压迫、Angioseal封堵、Perclose封堵、Boomerang封堵4组实际制动时间分别(21.4±2.7)h、(3.5±2.3)h、(3.7±2.6)h和(3.9±2.8)h,封堵器组明显减少制动时间。4组操作失败率依次为2.7%、1.4%、8.6%和3.5%。出血并发症发生率4组依次为9.2%、5.8%、12.6%和8.0%。除去操作失败病例,则4组出血并发症发病率差异无统计学意义。结论应用封堵器明显减少患者实际制动时间,但并不减少出血并发症。3种血管封堵器各具特点,应用时需严格掌握指征和选择合适患者。

参考文献/References:

[1]Blanc R,Mounayer C,Piotin M,et al.Hemostatic closure device after carotid puncture for stent and coli placement in an intracranial aneurysm:technical note[J].AJNR,2002,23:978-981.
[2]Traul DK,Clair DG,Gray B,et al.Percuaneous endovascular repair of infrarenal abdominal aortic aneurysms:A feasibility study[J].Vasc Surg,2000,32:770-776.
[3]Steinkamp HJ,Werk M,Beck A,et al.Excimer laserassisted recanalisation of feoral arterial stenosis or occlusion caused by the use of AngioSeal[J].Eur Radiol,2001,11:1364-1370.
[4]乔志强,张敏州,李松,等.应用股动脉血管封堵器后严重血管迷走反射一例[J].中国介入心脏病学杂志,2006,14:60.
[5]Jang JJ,Kim M,Gray B,et al.Claudication secondary to Perc-lose use after percutaneous procedures[J].Catheter Cardiovasc Interv,2006,67:687-95.
[6]肖红兵,张大东,陈跃光,等.血管闭合装置Angioseal和Perc-lose在股动脉穿刺点封堵中的比较[J].介入放射学杂志,2005,14:534-536.
[7]Koreny M,Riedmuller E,Nikfardjam M,et al.Arterial punc-ture closing devices compared with standard manual compression after cardiac catheterization:systematic review and meta-analysis[J].JAMA,2004,291:350-357.

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备注/Memo

备注/Memo:
收稿日期:2006-08-03
更新日期/Last Update: 2007-06-15