《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (06): 568-569.

• 临床研究 • 上一篇    下一篇

Boomerang血管封堵器在冠状动脉介入诊疗中的应用研究

李南; 祖晓麟; 李响; 叶明; 颜红兵   

  1. 首都医科大学附属北京安贞医院心肺血管抢救中心,北京市 100029
  • 收稿日期:2007-03-27 出版日期:2007-06-01 发布日期:2007-06-01

Safety and Effectiveness of Boomerang Closure Device Applied to Patients Undergoing CAG and/or PCI

LI Nan, ZU Xiao-lin, LI Xiang, et al   

  1. The Emergency Center for Heart, Lung and Vessel Diseases, BeijingAnzhen Hospital of Capital Medical University, Beijing 100029, China
  • Received:2007-03-27 Published:2007-06-01 Online:2007-06-01

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被引次数

14

摘要： 目的探讨Boomerang血管封堵器在经皮冠状动脉造影(CAG)及介入治疗(PCI)中应用的有效性和安全性。方法将206例行CAG及PCI的患者随机分为普通肝素组和低分子肝素组,比较两组患者使用血管封堵器的成功率、止血时间、指压时间、留置时间、局部并发症发生率及术后卧床时间。结果普通肝素组和低分子肝素组的成功率均较高(98.06%和99.03.%),差异无统计学意义。普通肝素组和低分子肝素组各发生局部血肿1例,并发症发生率差异两组间无统计学意义。止血时间、留置时间、指压时间及卧床时间两组间差异无统计学意义。结论CAG及PCI术后,在术中应用普通肝素或低分子肝素对Boomerang血管封堵器的应用无明显影响,Boomerang血管封堵器均能安全有效止血。

关键词: 血管封堵器, 血管成形术, 冠状动脉造影

Abstract: Objective To assess the clinical safety and effectiveness of Boomerang closure device (Boomerang Percutaneous Femoral Access Management System) applied to patients undergoing coronary angiography (CAG) and/or percutaneous coronary intervention (PCI).Methods206 patients undergoing CAG and/or PCI were randomly divided into the heparin group and low molecular heparin (LWMH) group. The hemostasia success rate, hemostasia time, manual pressure time, device dwell time, complication rate and time to ambulation with each other of two groups were compared.ResultsThe heparin group and LWMH group both had high hemostasia success rate (98.06% and 99.03%), there wasn't significant difference between two groups. There was one patient with hematoma formation in the heparin group and LWMH group respectively. There was no significant difference between two groups in hemostasia time, manual pressure time, the device dwell time and time to ambulation.ConclusionAfter CAG and/or PCI, administered heparin and low molecular heparin is no effect on Boomerang closure device, and Boomerang closure device has a high hemostasia success rate.

Key words: arterial closure devices, angioplasty, coronary angiography