Noory Elias, Rastan Aljoscha, Sixt Sebastian, Schwarzwälder Uwe, Leppännen Olli, Schwarz Thomas, Bürgelin Karlheinz, Hauk Michael, Branzan Daniela, Hauswald Kirsten, Beschorner Ulrich, Nazary Taher, Brantner Regina, Neumann Franz-Josef, Zeller Thomas
Department of Angiology, Herz-Zentrum Bad Krozingen, Germany.
J Endovasc Ther. 2008 Jun;15(3):310-4. doi: 10.1583/07-2324.1.
To report the safety and efficacy of a clip device to close retrograde popliteal artery puncture sites used in recanalization of the superficial femoral artery (SFA).
From January 2005 to March 2007, 28 patients (20 men; mean age 66+/-10 years) with stable chronic peripheral artery disease were treated for chronic total SFA occlusion. All patients received aspirin and clopidogrel and were heparinized during the procedure. After failed antegrade recanalization, the SFA was revascularized via a retrograde transpopliteal access. The StarClose Vascular System was used to seal the popliteal artery puncture site.
All (100%) interventions were finished successfully, and hemostasis was secured with the StarClose device in all cases. There was 1 (3.6%) major complication with the StarClose system: a transient popliteal artery occlusion induced by plaque shift during sheath removal, which was corrected with balloon angioplasty via the femoral access. Three (10.8%) small hematomas (<5 cm) occurred at the puncture site without causing significant patient discomfort.
In this small experience, the StarClose Vascular Closure System appeared to be an effective and safe sealing device after percutaneous transpopliteal interventions. Plaque shifting leading to stenosis or occlusion at the puncture site can occur.
报告一种用于闭合股浅动脉（SFA）再通术中逆行腘动脉穿刺部位的夹子装置的安全性和有效性。
2005年1月至2007年3月，对28例（20例男性；平均年龄66±10岁）稳定的慢性外周动脉疾病患者进行慢性股浅动脉完全闭塞的治疗。所有患者均接受阿司匹林和氯吡格雷治疗，并在手术过程中接受肝素化处理。顺行再通失败后，通过逆行经腘动脉入路对股浅动脉进行血管重建。使用StarClose血管系统封闭腘动脉穿刺部位。
所有（100%）干预均成功完成，所有病例均通过StarClose装置实现止血。StarClose系统出现1例（3.6%）主要并发症：拔鞘时斑块移位导致短暂性腘动脉闭塞，通过经股动脉入路行球囊血管成形术得以纠正。3例（10.8%）穿刺部位出现小血肿（<5 cm），未给患者造成明显不适。
在这一小型研究中，StarClose血管闭合系统在经皮经腘动脉干预后似乎是一种有效且安全的封闭装置。可能会发生斑块移位导致穿刺部位狭窄或闭塞。
