与动脉穿刺闭合装置——血管封堵器相关的并发症。

Complications associated with the arterial puncture closure device--Angio-Seal.

作者信息

Kadner Alexander, Schmidli Jürg, Schwegler Igor, Dick Florian, Schönhoff Florian, Carrel Thierry, Savolainen Hannu

机构信息

Swiss Cardiovascular Center, University Hospital, Freiburgerstrasse, Bern, Switzerland.

出版信息

Vasc Endovascular Surg. 2008 Jun-Jul;42(3):225-7. doi: 10.1177/1538574407312657. Epub 2008 Jan 29.

DOI:10.1177/1538574407312657

PMID:18230871

Abstract

BACKGROUND

Arterial puncture closure devices (APCD) are frequently used after cardiac catheterization. Here, the diagnosis and therapy of femoral artery complications after the use of the Angio-Seal APCD is reported.

PATIENTS AND METHODS

The Angio-Seal APCD was deployed in 1600 patients undergoing transfemoral catheterization.

RESULTS

In 7 of 1600 cases (0.4%) vascular complications occurred following Angio-Seal deployment. Diagnosis was made by duplex sonography. Intraoperative findings consisted of a complete occlusion with dissection of the femoral artery in all patients. In 6 cases, the femoral bifurcation had to be reconstructed after endarterectomy. Follow-up is complete with a mean of 6 months.

CONCLUSION

The Angio-Seal device should not be used for closure of the superficial femoral artery and in patients with severe arteriosclerosis. The application of arteriography as well as the use of ultrasound-guided puncture is advisable. In all cases, surgical intervention was successful and an adequate therapy for management of complications.

摘要