Nishihori Masahiro, Kawase Ryo, Izumi Takashi, Nakase Hiroe, Onishi Erina, Saito Ryuta
Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Nursing Department, Nagoya University Hospital, Nagoya, Aichi, Japan.
J Neuroendovasc Ther. 2023;17(12):281-285. doi: 10.5797/jnet.oa.2023-0053. Epub 2023 Oct 24.
We verified the usefulness of patient management using a balloon-pressurized belt (Stanch Belt Plus) to prevent puncture site hematomas, which can occur at a specific rate even with hemostatic devices after endovascular neurosurgery.
A total of 113 patients who underwent endovascular surgery with a femoral puncture from April 2019 to September 2020 were divided into two groups: 31 cases using a traditional compression belt and 82 cases using a newly introduced balloon-pressurized belt during this period. The clinical data were analyzed retrospectively. The chi-square test and Mann-Whitney U test were used to test for significant differences.
There were no significant differences in treatment procedures or frequency of hemostatic device use, but the balloon-pressurized belt group had a significantly lower incidence of hematomas (2.4% vs 12.9%, p <0.05) and a significantly lower incidence of moderate or higher lumbago (22.0% vs 41.9%, p <0.05). The incidence of epidermal detachment tended to be low; however, no significant difference was observed (3.7% vs. 12.9%, n.s.).
Patient management with the newly introduced balloon-pressurized belt may decrease the occurrence of groin hematoma and lumbago among complications after endovascular neurosurgery.
我们验证了使用球囊加压带（Stanch Belt Plus）进行患者管理以预防穿刺部位血肿的有效性，即使在血管内神经外科手术后使用止血装置，穿刺部位血肿也可能以一定比例发生。
2019年4月至2020年9月期间共113例行股动脉穿刺血管内手术的患者被分为两组：在此期间，31例使用传统压迫带，82例使用新引入的球囊加压带。对临床资料进行回顾性分析。采用卡方检验和曼-惠特尼U检验来检验显著差异。
治疗程序或止血装置使用频率无显著差异，但球囊加压带组血肿发生率显著更低（2.4%对12.9%，p<0.05），中度或更严重腰痛的发生率也显著更低（22.0%对41.9%，p<0.05）。表皮剥脱的发生率有降低趋势；然而，未观察到显著差异（3.7%对12.9%，无统计学意义）。
使用新引入的球囊加压带进行患者管理可能会降低血管内神经外科手术后并发症中腹股沟血肿和腰痛的发生率。
