Moraes Altino Ono, Nabeshima Rogério Yoshikazu, Viotto Ericsson Fernando, Yoshida Marcelo Hiroshi Estevam, Abdallah Jihad Mohamad Mansour, Gaio Patrícia
Instituto de Moléstias Vasculares, Departamento de Cirurgia Vascular, Maringá, PR, Brasil.
Hospital Santa Rita, Departamento de Cirurgia Vascular, Maringá, PR, Brasil.
J Vasc Bras. 2017 Apr-Jun;16(2):98-103. doi: 10.1590/1677-5449.000717.
Vascular closure devices (VCD) make it possible to rapidly remove the introducer sheath from an arterial access, thereby reducing the length of time in hemostasis, the time patients are restricted to their beds, and the number of puncture site complications.
To evaluate the efficacy and possible complications associated with use of an arterial occlusion device compared with manual compression.
This was a prospective, randomized, longitudinal study of 20 patients conducted from December 2014 to July 2015 in Maringá, PR, Brazil. They were divided into two groups: those who were treated using a VCD (VCD group) and those for whom only manual compression was used (MC group). Doppler ultrasound examination was used to determine skin-artery depth before and after the procedure and the length of time compression was maintained and the delay before mobilization were also recorded. Data were analyzed using the program Statistical Analysis Software.
A total of 60% of the patients were male and the mean age of both groups was approximately 60 years. There was no difference in skin-artery depth between the groups. The duration of compression in the VCD group was 2 minutes and in the MC group it was 21±2.11 minutes (p = 0.0005), while the delay before return to mobility of the lower limb that had been punctured was 2.35±0.75 hours in the VCD group and 6 hours in the MC group (p = 0.0005). There were no complications.
In this study, hemostasis by manual compression exhibited equal efficacy to use of a VCD, but the duration of compression and delay before resumption of activity were shorter in the patients for whom the device was employed.
血管闭合装置（VCD）使得能够快速从动脉穿刺部位移除穿刺鞘，从而减少止血时间、患者卧床时间以及穿刺部位并发症的数量。
评估与手动压迫相比，使用动脉闭塞装置的疗效及可能的并发症。
这是一项于2014年12月至2015年7月在巴西巴拉那州马林加市对20例患者进行的前瞻性、随机、纵向研究。他们被分为两组：使用VCD治疗的患者（VCD组）和仅采用手动压迫的患者（MC组）。采用多普勒超声检查确定手术前后皮肤至动脉的深度，记录压迫持续时间以及活动前的延迟时间。使用统计分析软件程序对数据进行分析。
共有60%的患者为男性，两组的平均年龄均约为60岁。两组之间皮肤至动脉的深度无差异。VCD组的压迫持续时间为2分钟，MC组为21±2.11分钟（p = 0.0005），而VCD组穿刺下肢恢复活动前的延迟时间为2.35±0.75小时，MC组为6小时（p = 0.0005）。未出现并发症。
在本研究中，手动压迫止血与使用VCD具有同等疗效，但使用该装置的患者压迫持续时间和恢复活动前的延迟时间更短。
