微穿刺技术建立股动脉入路在经皮主动脉腔内修复术中的应用效果  

Clinical results of micropuncture technique in the treatment of p-endovascular aneurysm repair

作　　者：何楠[1] 陈忠[1] 刘博文[1] 唐小斌[1] 寇镭[1] 王盛[1] 吴章敏[1] 刘晖[1] 张腾飞[1] 王晓娜[1] HE Nan;CHEN Zhong;LIU Bowen;TANG Xiaobin;KOU Lei;WANG Sheng;WU Zhangmin;LIU Hui;ZHANG Teng-fei;WANG Xiaona(Department of Vascular Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所血管外科,100029

出　　处：《心肺血管病杂志》2018年第7期663-665,669,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:通过观察腹主动脉瘤腔内治疗(EVAR)时采用微穿刺技术建立股动脉入路与传统穿刺技术建立入路的相关并发症,比较两种技术的安全性及有效性。方法:随机选取2015年1月至2017年12月,首都医科大学附属北京安贞医院治疗的49例EVAR修复术患者的临床资料进行回顾性分析,其中27例(50条肢体)采用微穿刺技术建立股动脉动脉入路;22例(34条肢体)采用传统18G穿刺针穿刺建立入路,术后采用Perclose ProGlide血管闭合器止血。初期评价终点包括穿刺点局部血肿形成(≥2 cm)、假性动脉瘤形成、以及血管闭合器使用数量和术后CTA股动脉直径以及局部穿刺点组织厚度.结果:微穿刺组较传统穿刺组入路相关总并发症率低(P<0.005)。血管闭合器使用数量相比传统穿刺法更少。结论:经皮穿刺EVAR修复术使用微穿刺技术建立动脉入路是安全有效的,其成功率较高,并发症率较低。Objective： To compare the clinical result of micropuncture technique and traditional puncture technique in the treatment of endovascular aneurysm repair（ EVAR）. Methods： From January 2015 to December 2017,49 patients of AAA were treated by p-EVAR. 27 Patients（ 50 limbs） by 21-G micropuncture technique and 22 patients（ 34 limbs） by traditional 18-G puncture technique. To stem bleeding by using vascular closure device. Primary endpoints included groin hematoma,pseudoaneurysm,number of the vascular closure device,diameter of the femoral artery. Results： The total complication rate of the micropuncture group was lower than that of the traditional puncture group（ P 〈 0. 005）. The number of vascular closure devices was less than that of the traditional puncture method. Conclusion： Endovascular repair of abdominal aortic aneurysm with micro puncture technique is a safe and effective way to establish an artery approach,with a high success rate and low complication rate.

关 键 词：主动脉瘤 腹主动脉瘤腔内修复术 微穿刺技术 

分 类 号：R54[医药卫生—心血管疾病]