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首页> 外文期刊>Catheterization and cardiovascular interventions: Official journal of the Society for Cardiac Angiography & Interventions >Use of suture-mediated vascular closure devices for the management of femoral vein access after transcatheter procedures.
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Use of suture-mediated vascular closure devices for the management of femoral vein access after transcatheter procedures.

机译：经导管手术后，使用缝线介导的血管闭合装置管理股静脉。

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Groin complications remain the most common complication of cardiac catheterization procedures. While the use of closure devices is increasing for arterial sheaths, venous sheaths tend to be removed and hemostasis achieved with manual compression. We report our experience using Perclose suture-mediated vascular closure device to achieve hemostasis and early mobility in patients who have had venous access as part of their procedure. There were a total of 42 patients (21 males; average age, 63.5 years) studied. The majority of the patients had 7 Fr sheaths (24), with access sites of sheaths up to 14 Fr being closed with this technique. Two patients developed complications at the access site: one patient requiring rehospitalization for intravenous antibiotics because of late access site infection, and one patient with deep venous thrombosis and pulmonary emboli. We conclude that the use of the Perclose suture-mediated closure device for closure of femoral venous access sites is feasible and should be considered especially in patients with larger venous sheaths and those at increased risk of groin complications. Catheter Cardiovasc Interv 2004;63:439-443. (c) 2004 Wiley-Liss, Inc.
机译：腹股沟并发症仍然是心脏导管插入术最常见的并发症。尽管越来越多地使用封闭装置用于动脉鞘，但往往会去除静脉鞘，并通过手动加压实现止血。我们报告了我们使用Perclose缝合线介导的血管闭合装置在经历静脉通路的患者中实现止血和早期活动的经验。共研究了42例患者（21例男性;平均年龄63.5岁）。大多数患者有7个Fr护套（24个），使用此技术可关闭14 Fr的护套进入部位。两名患者在进入部位出现并发症：一名患者由于晚期进入部位感染而需要再次住院静脉使用抗生素，另一名患者患有深静脉血栓形成和肺栓塞。我们得出的结论是，使用Perclose缝合线介导的闭合装置闭合股静脉进入部位是可行的，尤其是在具有较大静脉鞘和腹股沟并发症风险增加的患者中应予以考虑。导管心血管介入杂志2004; 63：439-443。 （c）2004年Wiley-Liss，Inc.

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