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使用SilverHawk®定向斑块旋切术治疗Angio-Seal®血管闭合装置引起的急性股动脉闭塞

Treatment of Angio-Seal® Vascular Closure Device-Induced Acute Femoral Artery Occlusion with SilverHawk® Directional Atherectomy.

作者信息

Sharma Rishi, Vamanan Karthik, Gupta Kamal

机构信息

Cardiovascular & Renal Research, Kansas City VA Medical Center.

Department of Vascular Surgery, Kansas University Hospital, Kansas City.

出版信息

Cureus. 2016 Dec 2;8(12):e910. doi: 10.7759/cureus.910.

DOI:10.7759/cureus.910
PMID:28083454
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5208580/
Abstract

Vascular closure devices provide a safe and cost-effective method to achieve rapid hemostasis and early ambulation after angiographic procedures. Rarely, they can result in arterial injury with resultant stenosis or acute arterial closure requiring open surgical intervention. We report an Angio-Seal® vascular closure device-induced acute arterial closure successfully treated percutaneously with the SilverHawk® plaque excision system. This report discusses the possible mechanisms of Angio-Seal® induced arterial occlusion and various percutaneous options for treatment.

摘要

血管闭合装置为血管造影术后实现快速止血和早期活动提供了一种安全且经济高效的方法。它们很少会导致动脉损伤,进而引起狭窄或急性动脉闭塞,需要进行开放手术干预。我们报告了一例由Angio-Seal®血管闭合装置引起的急性动脉闭塞,使用SilverHawk®斑块切除系统成功地进行了经皮治疗。本报告讨论了Angio-Seal®引起动脉闭塞的可能机制以及各种经皮治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e601/5208580/644b9d914f3a/cureus-0008-00000000910-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e601/5208580/e6b82af61ede/cureus-0008-00000000910-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e601/5208580/644b9d914f3a/cureus-0008-00000000910-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e601/5208580/e6b82af61ede/cureus-0008-00000000910-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e601/5208580/644b9d914f3a/cureus-0008-00000000910-i02.jpg

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本文引用的文献

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Analysis of particulate debris after superficial femoral artery atherectomy.
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Treatment of an Angio-Seal-related vascular complication using the SilverHawk plaque excision system: a case report.
使用SilverHawk斑块切除系统治疗Angio-Seal相关血管并发症:一例报告
Catheter Cardiovasc Interv. 2007 Jan;69(1):141-5. doi: 10.1002/ccd.20877.
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Prospective comparison of collagen plug (Angio-Seal) and suture-mediated (the Closer S) closure devices at femoral access sites.股动脉穿刺部位使用胶原蛋白封堵器(Angio-Seal)和缝线介导封堵器(the Closer S)的前瞻性比较。
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Suture-mediated closure of the femoral access site after cardiac catheterization: results of the suture to ambulate aNd discharge (STAND I and STAND II) trials.心脏导管插入术后缝线介导的股动脉穿刺部位闭合:缝线辅助活动及出院(STAND I和STAND II)试验结果
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