经皮冠状动脉成形术后Perclose ProGlide血管缝合器的临床应用及并发症的防范

目的 评价经皮冠状动脉成形术(percutaneous coronary interventions,PCI)术后,穿刺股动脉应用Perclose ProGlide血管缝合器止血的安全性、可靠性及对常见并发症的防范.方法 2007年4月-2009年5月,收治217例经股动脉PCI术后患者,根据术后是否使用血管缝合器将患...

Clinical Application and the Prevention of Complications of Perclose ProGlide Suture-mediated Closure System after Percutaneous Coronary Intervention

Objective To evaluate the safety of Perclose ProGlide Suture-Mediated Closure System applied to femoral artery puncture site after percutaneous coronary interventions（PCI） and to explore the prevention of possible common complications.Methods A total of 217 patients who underwent PCI from April 2007 to May 2009 were randomly divided into Perclose ProGlide group（105 patients,hemostasis by Perclose ProGlide Suture-Mediated Closure System） and control group（112 patients,hemostasis by compression）.The Lower-limb braking time and the complications were recorded and analyzed.Results The successful rate was 98.1%（103 patients） in Perclose ProGlide group,and 100%（112 patients） in the control group;the difference between the two groups was not significant（P〉0.05）.But there was a significant difference（P〈0.01） in Lower-limb braking time between the two groups[（4.1±1.2） and（25±3.1） hours].The post-operative complications between the two groups didn’t differ much.Conclusions Perclose ProGlide Suture-Mediated Closure System is a safe,effective and simple method after percutaneous coronary intervention to achieve immediate hemastasis.Skillfully processing may reduce the vascular complications.