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目的 观察Angio Seal血管闭合器的疗效及安全性。方法 行选择性冠脉介入诊疗的患者 114例,其中冠脉造影 53例,行PCI61例;男性 82例,女 32例,平均年龄 (63±10. 8 )岁 (32~85岁 )。在冠脉介入诊疗后行右股动脉造影,证实动脉穿刺处无粥样硬化斑块及大血管分支后,分定位、放锚、封堵动脉三步释放Angio Seal血管闭合器。结果 114例成功释放 113个,成功率为 99. 1%。主要并发症为出血,共有 7例发生穿刺处出血, 1例形成假性动脉瘤。未见患肢远端栓塞及全身过敏现象。结论 该方法操作简单、成功率高、止血迅速、疗效显著、卧床时间短,证明应用Angio Seal封堵动脉穿刺口是安全的,有推广应用的价值。
Objective To observe the efficacy and safety of Angio Seal vascular closure device. Methods A total of 114 patients undergoing selective coronary intervention were enrolled. Among them, 53 were performed coronary angiography (PCI). There were 82 males and 32 females, with an average age of 63 ± 10.8 years (32-85 years). Angiography of right femoral artery was performed after coronary intervention. After arterial puncture showed no atherosclerotic plaques and large blood vessel branches, Angio Seal vascular occluder was released in three steps by positioning, anchoring and blocking the artery. Results 114 cases successfully released 113, the success rate was 99.1%. The main complication was bleeding, a total of 7 cases of puncture bleeding, 1 case of pseudoaneurysm. No limb distal embolism and systemic allergy. Conclusion The method is simple, high success rate, rapid hemostasis, significant curative effect and short bed time, which proves that it is safe to use Angio Seal to occlude the arterial puncture and has the value of popularization and application.