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血管缝合器缝合股动脉的血管并发症及其处理
引用本文:李伟明,陈艳清,徐亚伟,W. Bojara,杨海燕,徐剑钢,张戟,韩雪根,侯磊,范雪华. 血管缝合器缝合股动脉的血管并发症及其处理[J]. 介入放射学杂志, 2005, 14(2): 132-134
作者姓名:李伟明  陈艳清  徐亚伟  W. Bojara  杨海燕  徐剑钢  张戟  韩雪根  侯磊  范雪华
作者单位:200072 上海市第十人民医院 同济大学附属铁路医院心内科;Department of Cardiology Bergmannsheil Universitaetsklinik Bochum Germany
摘    要:目的探讨血管缝合器缝合股动脉的血管并发症及其防治。方法选择冠脉造影和(或)冠心病介入治疗(PCI)后采用血管缝合器缝合股动脉病例218例,观察其成功率及血管并发症。结果股动脉血管缝合218例,成功率为91.3%,出现小血肿并伤口感染仅1例,发生率0.5%;无假性动脉瘤、血栓形成以及栓塞事件。结论血管缝合器适用于冠脉造影和PCI术后股动脉血管的缝合止血,其成功率高,而血管并发症发生率低。

关 键 词:血管缝合器  冠脉造影  冠心病介入治疗  血管并发症  感染
修稿时间:2004-05-24

The complication and management of suturing femoral arteries with suture mediated closure system
Li Wei-ming,CHEN Yan-qing,XU Ya-wei,W. Bojara,YANG Hai-yan,XU Jian-gang,ZHANG Ji,HAN Xue-geng,HOU Lei,FAN Xue-hua. The complication and management of suturing femoral arteries with suture mediated closure system[J]. Journal of Interventional Radiology, 2005, 14(2): 132-134
Authors:Li Wei-ming  CHEN Yan-qing  XU Ya-wei  W. Bojara  YANG Hai-yan  XU Jian-gang  ZHANG Ji  HAN Xue-geng  HOU Lei  FAN Xue-hua
Affiliation:Li Wei-ming,CHEN Yan-qing,XU Ya-wei,W. Bojara,YANG Hai-yan,XU Jian-gang,ZHANG Ji,HAN Xue-geng,HOU Lei,FAN Xue-hua. Cardiologic Department,Raiway Hospital,Tongji Univercity,Shanghai Municipal 10th Peoples's Hospital,Shanghai 200072,China
Abstract:Objective To discuss the femoral vascular complications and management in the patients with coronary angiography (CAG) and percutaneous coronary intervention (PCI) after applying the Suture Mediated Closure System (SMCS).Methods We observed the successful rate and the vascular complications in patients treated with the SMCS. Results Two hundreds and eighteen patients were treated with the SMCS, obtaining the success rate of 91.3%. Complication involved only one hemotoma with femoral arterial infection ( 0.5%), but no pseudoaneurysm, no embolus formation and embolization.Conclusions The suture closure system used in coronary angiography and PCI has high successful rate and less vascular complications.
Keywords:Suture mediated closure system  Coronary angiography  Percutaneous coronary intervention  Vascular complication  Infection
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