Janerot-Sjöberg B, Broqvist M, Fransson S G
Department of Clinical Physiology, Linköping Heart Centre, University Hospital, Sweden.
Scand Cardiovasc J. 1998;32(5):281-4. doi: 10.1080/14017439850139870.
To evaluate the safety and efficacy of a new pneumatic compression device for achieving haemostasis after femoral artery catheterization, 1,017 patients undergoing selective coronary angiography by a 5F unilateral femoral route were prospectively randomised to pneumatic or the routinely used clamp compression technique. All initial bleedings could be controlled in the pneumatic group, whereas in 38 patients (8%) of the clamp group the initial positioning of the clamp was unsuccessful or was not tolerated by the patient (p < 0.05). Ultrasound Doppler study of the puncture site because of suspected postcatheterization vascular complication revealed two haematomas which needed no further measure and two pseudoaneurysms which were successfully treated with ultrasound-guided compression or surgical repair. The rate of complications requiring treatment (pseudoaneurysms) was 0.2% overall, 0.5% in the clamp group and nil in the pneumatic compression group (NS). We conclude that the pneumatic compression device is effective, convenient and at least as safe as the clamp and, by shortening the time in the catheterization laboratory, offers time for further angiograms.
为评估一种新型气动压迫装置在股动脉插管后实现止血的安全性和有效性，1017例经5F单侧股动脉途径行选择性冠状动脉造影的患者被前瞻性随机分为气动压迫组或常规使用的钳夹压迫技术组。气动压迫组所有初始出血均能得到控制，而钳夹组有38例患者（8%）钳夹的初始定位不成功或患者无法耐受（p<0.05）。因怀疑导管插入术后血管并发症对穿刺部位进行超声多普勒检查发现2例血肿，无需进一步处理，2例假性动脉瘤经超声引导压迫或手术修复成功治疗。总体上需要治疗的并发症（假性动脉瘤）发生率为0.2%，钳夹组为0.5%，气动压迫组为零（无显著性差异）。我们得出结论，气动压迫装置有效、方便，至少与钳夹一样安全，并且通过缩短在导管室的时间，为进一步的血管造影提供了时间。
