Angioseal动脉闭合器在老年冠心病冠状动脉介入术中的临床应用  

Safety and Efficacy of Angioseal Closure for Elderly Coronary Heart Disease

作　　者：姚丙南 何倩 吉越英 韩世琴 赵建祥 

机构地区：[1]江苏省兴化市人民医院

出　　处：《中西医结合心脑血管病杂志》2007年第11期1070-1071,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的评价老年冠心病冠状动脉介入术后穿刺动脉应用血管闭合器Angioseal止血的安全性及Angioseal闭合器的临床应用价值。方法68例老年冠心病病人经股动脉介入术后,分为两组,甲组32例应用Angioseal闭合器;乙组36例应用手压止血作为对照组。观察止血、操作、下肢制动时间及血管并发症。结果甲组止血时间为48s±31s,绝对制动时间为3.0h±0.7h,相对制动时间2.8h±0.8h,1例血肿。乙组止血时间为1560s±660s,相对制动时间16.8h±4.7h,绝对制动时间为19.7h±5.8h,8例血肿。结论Angioseal闭合器是一种安全、可靠的止血工具,与手压止血法比较,操作简单,明显缩短了止血时间及制动时间,穿刺部位血管并发症少,方便了老年冠心病冠状动脉介入病人及医务工作者。Objective To compare the safety and efficacy of Angioceal closure and hand compression for femoral artery pancture after coronary interventions. Methods Sixty - eight patients （pts） were divided into two groups： Group Ⅰ （ n = 32） with angiseal closure and Group Ⅱ （ n = 36 ） with hand compression. The complications were recorded. Results The time of hemostasis was （48 ± 31 ） s and the time with out mobilization of limb pelvic limb was （3.0 ± 0.7）hrs by Angioceal closure in group Ⅰ. It was （26 ± 11 ）rains and （ 19.7 ± 5.8）hrs in group 11 , respectively. There was one patient with hematoma in group Ⅰ, while hematoma occurred in 8 pts in group Ⅱ. Conclusion The Angioseal device was safe and effective. It could reduce the vascular complications.

关 键 词：ANGIOSEAL血管闭合器 止血 冠状动脉介入术 

分 类 号：R541.4[医药卫生—心血管疾病]