Plglie血管闭合器在颈动脉支架成形术后的应用.docVIP

Ploglide血管闭合器在颈动脉支架成形术后的应用 李晶 武汉市中心医院湖北武汉430014 】目的：探讨Ploglide血管闭合器在颈动脉支架成形术(CAS)后 患者应用的安全性和有效性。方法：120例CAS术后的患者随机分为Ploglide血 管闭合器组60例，人工压迫组60例，观察各组止血时间、制动时间及血管并发 症的发生情况。结果：血管闭合器各组止血时间和制动时间明显短于人工压迫组 (Plt;0.01)；血管并发症的发生率明显低于人工压迫组(Plt;0.01)；两组间止 血成功率比较无显著性差异(Pgt;0.05)。结论：CAS术后应用Ploglide血管封堵 器安全、有效，减少并发症和卧床时间。 关键词】颈动脉支架成形术；血管封堵器；并发症 】R473 】A 】1674-8999 ( 2015) 9-0574-02 Application of Ploglide vascular closing device in patients with carotid artery angioplasty and stenting Li Jing (Wuhan Central Hospital，wu han 430014，hubei，China) Abstract】 Objective:To explore the safety and efficacy of Ploglide vascular closing device in CAS patients.Methods:120 patients undergoing CAS were divided randomized into Ploglide group (60cases) and manual compression group (60cases). The time of hemostasis,time of immobilization and the incidence of vascular complications were observed in each group.Results:The time of hemostasis,time of immobilization in Ploglide group were significantly shorter than those in manual compression group(Plt;0.01).The incidence of vascular complications was significantly lower than those in manual compression group (Plt;0.01).The rate of successful hemostasis was not significantly different between two groups (Pgt;0.05) . Conclusion:Using Ploglide vascular closing device after CAS is safe and effective，and reduces complications and time in bed. Targeted care is the key factor for the efficacy. Keywords】 carotid artery angioplasty and stenting (CAS); vascular closure device； complication 颈动脉粥样硬化性狭窄是缺血性脑血管病的重要危险因素，是引发短暂性脑 缺血发作和脑梗死的主要原因［1-3］。颈动脉支漿成形术(carotid artery angioplasty and stenting, CAS)是使用颈动脉支漿通过微创技术经血管内治疗颈动脉狭窄的一 种技术，己日益广泛应用于临床［4,5］。CAS经股动脉途径是常规的入路［6,7］,以 往术后采用手工压迫法来达到穿刺处止血的0的，止血后下肢制动时间长，尤苏 是给老年患者带来了极大的不便。为提高止血效果，同吋减轻传统止血方法给患 者带来的痛苦，血管闭合器在动脉止血中得到临床医师青睐［8］。我科使用 Ploglide血管闭合器砬用于颈动脉支架成形术后穿刺点止血，取得较好的临床效果， 现报道如下： 1病例资料 所有患者均为我院2012年2月-2014年10月年住院接受颈动脉支架成形术 (CAS)患者，共120例，Ploglide血管闭合器组(观察组)共60例,其中男37 例，女23例，平均年龄56.7plusmn;5.3岁；人工压迫止血组(对照组)共60例, 其中男4