Wille Jan, Vos Jan Albert, Overtoom Tim T C, Suttorp Maarten J, van de Pavoordt Eric D W M, de Vries Jean-Paul P M
Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Ann Vasc Surg. 2006 Mar;20(2):278-81. doi: 10.1007/s10016-006-9005-3. Epub 2006 Mar 21.
The use of femoral artery closure devices to obtain hemostasis after percutaneous catheterization has become widespread because of their proven feasibility in combination with patient-related advantages. Since 2002 more than 6,500 patients have undergone either diagnostic angiography or therapeutic intervention via the femoral route with an Angioseal closure device in our hospital. We were faced with six cases of limb-threatening complications, which are described here. Most (5/6) complications were of obstructive origin due to traumatic dissection or occlusion of the artery mainly caused by malpositioning of the device. Recommendations are made in order to prevent or successfully overcome this certainly increasing problem in the vascular field.
由于经皮导管插入术后使用股动脉闭合装置实现止血已被证明具有可行性且具有患者相关优势，其应用已变得广泛。自2002年以来，我院有超过6500例患者通过股动脉途径使用Angioseal闭合装置进行了诊断性血管造影或治疗性干预。我们遇到了6例危及肢体的并发症，在此进行描述。大多数（5/6）并发症是由于创伤性夹层或动脉闭塞导致的阻塞性病变，主要由装置位置不当引起。为预防或成功解决血管领域中这一肯定日益增加的问题，我们提出了相关建议。
