冠状动脉介入术后closure wire血管封堵临床疗效评价  

Clinical efficacy of closure wire device after coronary intervention

作　　者：林晓静[1] 徐延敏[1] 李广平[1] 许纲[1] 尹力[1] 袁如玉[1] 郑心田[1] 陈欣[1] 

机构地区：[1]天津医科大学第二医院心脏科,天津300211

出　　处：《天津医科大学学报》2009年第3期460-462,共3页Journal of Tianjin Medical University

摘　　要：目的:评价冠状动脉介入治疗后closure wire血管封堵器的临床疗效。方法:经皮穿刺股动脉途径行冠脉造影术及冠脉介入治疗术患者336例,其中手工压迫组221例,closure wire封堵器组115例。观察止血时间、制动时间及术后相关并发症的发生情况。结果:封堵器组止血时间和制动时间较手工压迫组显著缩短(P<0.05),封堵器组相关血管并发症较手工压迫组显著减少(P<0.05),手工压迫组1例因腹膜后血肿而急需输血,封堵器组无严重血管并发症出现。结论:closure wire封堵器在经股动脉途径行冠脉造影及冠脉成型术中是安全有效的,其较手工压迫法能够显著缩短止血时间和制动时间,相关血管并发症有减少的趋势,特别是严重的出血并发症。Objective： To assess clinical efficacy of closure wire in patients underwent coronary angiography （CAG） or percutaneous coronary intervention （PCI）. Methods： Three hundred and thirty-six cases who underwent transfemoral CAG or PCI were included in this study, 221 cases were treated with traditional compression of hemostasis, 115 cases were treated with closure wire .The hemostasia time, immobilization time and relative vascular complications of the two groups were compared. Results：.There were obvious differences in the hemostasia time,immobilization time and the rate of the relative vascular complications （P〈0.05）.No patients experienced major complications in closure wire group, but one ease experienced blood transfusion due to retroperitoneal bleeding in man-made compression group. Conclusion： Closure wire is safe and effective in patients undergoing CAG or PCI by the transfemoral approach.Compared with man-made compression ,closure wire can extremely decrease hemostasia time and immobilization time, and can make a decreased trend in relative vascular complications, espeesically major complications.

关 键 词：CLOSURE wire血管封堵器 相关血管并发症 经皮冠状动脉介入 止血方法 

分 类 号：R541.4[医药卫生—心血管疾病]