Boomerang血管封堵器在老年冠状动脉介入治疗患者中的应用

【目的】与YM-GU-动脉压迫止血器对比，观察Boomerang血管封堵器在老年患者冠状动脉介入（percutaneous coronary intervention，PCI）术后股动脉止血中的安全性、有效性和优势。【方法】2007年4月-2008年4月在我科住院，经股动脉行PCI的老年患者81例，其中26例采用Boomerang血管封堵器（观察组），55例采用YM-GU-动脉压迫止血器（对照组）。观察两组患者术后止血时间、制动时间和股动脉局部并发症。【结果】两组围手术期抗凝治疗方案一致。观察组制动时间（4．6±0．8）h与对照组（6．4±0．9）h相比，有显著性差异（P〈0．05）。两组止血时间无明显差异。对照组出现3例皮肤溃破（P〈0．05），血肿和假性动脉瘤两组间无明显差异。【结论】与YM-GU-动脉压迫止血器相比，Boomerang血管封堵器更安全，术后制动时间短，对皮肤损伤小，尤其适于老年体弱不能强力压迫局部软组织的患者。

Study on Boomerang vascular closure device in percutaneous coronarg intervention in the senile

Objective] To investigate the safety and efficacy of Boomerang vascular closure device in PCI in the senile. Methotis] A total of 81 consecutive patients undergoing transfemoral PCI were included in this study, including 26 patients with Boomerang vascular closure device and 55 patients with YM-GU-1299. The time of hemostasis, immob＇dization and the complication were observed. Results] The device failed to deploy in 1 patient. No patients experienced major complications.The YM-GU- 1299 failed to deploy in 2 patients. The time of hemostasis was no significantly different in two groups. The immobilization time was significantly different （P 〈 0.05） . There was less complication in Boomerang group. Conclusions] The Boomerang vascular closure device is safe and effective in patients with the transfemoral approach. It appeared to be particularly useful in old and weak patients.