Noor Sonya, Meyers Susan, Curl Richard
Buffalo General Hospital, Buffalo, NY 14203, USA.
Vasc Endovascular Surg. 2010 Jul;44(5):345-9. doi: 10.1177/1538574410366760. Epub 2010 May 18.
Access site complications requiring emergent surgery following femoral catheterization expose patients to additional morbidities and mortality. We observed a significant decrease in such surgeries after the Mynx device was introduced.
A retrospective review of surgeries performed as a complication of 6F & 7F femoral cardiac and peripheral catheterization was done. Rates of surgeries among 3 closure methods were compared during the study period July 2006 to July 2008 (Mynx, AngioSeal, and manual/mechanical compression).
Of 11 006 6F &7F transfemoral catheterization procedures, 26 (0.24%) surgeries secondary to access complications resulted. Surgeries were done in 14 (0.61%) AngioSeal patients, 10 (0.19%) manual/mechanical compression, and 2 (0.06%) Mynx patients (P < .0001 vs AngioSeal, P = .14 vs compression).
Significant reduction in surgeries was seen in the Mynx vs Angioseal patients, no difference was noted in compression subset. Further analysis is warranted to prospectively evaluate these findings.
股动脉插管后需要紧急手术处理的穿刺部位并发症会增加患者的额外发病率和死亡率。我们观察到在引入Mynx装置后，此类手术显著减少。
对因6F和7F股动脉心脏及外周导管插入术并发症而进行的手术进行回顾性研究。比较了2006年7月至2008年7月研究期间三种闭合方法的手术发生率（Mynx、血管封堵器和手动/机械压迫）。
在11006例6F和7F股动脉导管插入术操作中，因穿刺部位并发症导致26例（0.24%）患者进行了手术。血管封堵器组14例（0.61%）患者进行了手术，手动/机械压迫组10例（0.19%），Mynx组2例（0.06%）（与血管封堵器组相比P <.0001，与压迫组相比P =.14）。
与血管封堵器组相比，Mynx组患者的手术量显著减少，压迫组未观察到差异。有必要进行进一步分析以对这些发现进行前瞻性评估。
