血管缝合器在股动脉大口径穿刺入路闭合中的临床应用  

Clinical application of suture-mediated closure device in closing the femoral artery puncture access used for large-bore delivery system

作　　者：谢宜芸 秦永林[1] XIE Yiyun;QIN Yonglin(Department of Interventional and Vascular Surgery,Affiliated Zhongda Hospital of Southeast University,Nanjing,Jiangsu Province 210009,China)

机构地区：[1]东南大学医学院附属中大医院介入与血管外科,江苏南京210009

出　　处：《介入放射学杂志》2023年第2期196-200,共5页Journal of Interventional Radiology

基　　金：江苏省研究生科研与实践创新计划项目(SJCX21-0079)。

摘　　要：血管缝合器(SMCD)是一类通过经皮装置在穿刺点周围置入缝线的血管闭合装置,可在经皮条件下达到最接近外科缝合的闭合效果。SMCD经皮闭合对于股动脉大口径穿刺入路的微创化具有重要意义。目前SMCD预置缝线技术是股动脉大口径穿刺入路闭合方式中应用最广泛的技术。现有研究评估了SMCD及预置缝线技术的优缺点,以及闭合失败的危险因素,同时提出术中和术后减少出血的辅助方法。术后如何安全有效地对大口径穿刺入路进行经皮闭合也已成为SMCD临床应用的重要课题。本文旨在总结SMCD在股动脉大口径穿刺入路闭合中的应用现状,为今后相关技术的发展提供思路。Suture-mediated closure device(SMCD)is a kind of vascular closure device that places stitches around the puncture point through a percutaneous device to achieve the closure of the puncture site under percutaneous conditions with almost the same effect as surgical suturing.For the closure of femoral artery large-bore access,percutaneous SMCD treatment,as a minimally-invasive technique,is of great significance.At present,the preclose technique of SMCD is the most widely used technology in closing the femoral artery large-bore access.In current related researches,the advantages and disadvantages of SMCD and preclose technique are evaluated,the risk factors for failure of vascular closure are discussed,and the auxiliary methods to reduce intraoperative and postoperative bleeding are proposed.Nowadays,how to safely and effectively perform the percutaneous closure of the femoral artery large-bore access has become an important topic in the clinical application of SMCD.This article aims to summarize the current clinical application status of SMCD in closing the femoral artery large-bore access so as to provide useful ideas for the development of related technologies in the future.

关 键 词：血管闭合装置 血管缝合器 股动脉 预置缝线技术 

分 类 号：R543[医药卫生—心血管疾病]