Title

Comparison between New Vascular Closure and Conventional Compression after Percutaneous Coronary Intervention

Translated Titles

PTCA術後血管閉合裝置與Femo-Stop的臨床應用研究

Authors

李志忠(Zhi-Zhong Li);Sidney Lo;Craig P Juergens

Key Words

經皮腔內冠脈血管成形術 ; 血管閉合裝置 ; Femostop ; Percutaneous coronary intervention ; Vascular closure device

PublicationName

中華急診醫學雜誌

Volume or Term/Year and Month of Publication

13卷5期(2004 / 05 / 10)

Page #

293 - 296

Content Language

英文

Chinese Abstract

Objective To compare vascular closure device and conventional compression on vascular complications and patient satisfaction. Methods Four hundred and eighty three patients were performed PTCA by femoral approach, 298 patients received conventional compression device (Femostop) at the site of puncture, and 185 patients used vascular closure device (Angio-seal(superscript TM) in 162 cases, Perclose in 23 cases). The time of hemostasis, the time of ambulation and vascular complications were recorded. Results The rates of using GP Ⅱ-6 Ⅲ a inhibitors in two groups were 56.8%, 18.8%, respectively (P<0.001). The time of hemostasis using Angio-sealTM, Perclose, Femostop was (1.7±1.2)min (P<0.0001), (13.7±6.1)min (p<0.001), (115.7±35.3)min respectively, The time of early ambulation was (4.1±2.1)h (P<0.01), (7.6±8.2)h (P<0.05), (10.7±4.3)h respectively. The incidences of vascular complications was 1.9% (P<0.005), 13.0%, 6.4% (P<0.05), respectively. The overall incidences of vascular complications in two groups were 3.2% and 6.4% (P>0.05), the patient satifaction of 48 h following-up in two groups were 92.4%, 65.4% (P<0.0001), the stay in hospital were (23.1±12.3)h, (22.8±12.3)h, respectively (P>0.05), and there was no significant difference between two groups. Conclusion The use of vascular closure device enables early ambulation and reduce hospital stay for the patients. With Angio-Seal(superscript TM), the success rate and patient satisfaction are the best, and vascular complication is the least.

English Abstract

Objective To compare vascular closure device and conventional compression on vascular complications and patient satisfaction. Methods Four hundred and eighty three patients were performed PTCA by femoral approach, 298 patients received conventional compression device (Femostop) at the site of puncture, and 185 patients used vascular closure device (Angio-seal(superscript TM) in 162 cases, Perclose in 23 cases). The time of hemostasis, the time of ambulation and vascular complications were recorded. Results The rates of using GP Ⅱ-6 Ⅲ a inhibitors in two groups were 56.8%, 18.8%, respectively (P<0.001). The time of hemostasis using Angio-sealTM, Perclose, Femostop was (1.7±1.2)min (P<0.0001), (13.7±6.1)min (p<0.001), (115.7±35.3)min respectively, The time of early ambulation was (4.1±2.1)h (P<0.01), (7.6±8.2)h (P<0.05), (10.7±4.3)h respectively. The incidences of vascular complications was 1.9% (P<0.005), 13.0%, 6.4% (P<0.05), respectively. The overall incidences of vascular complications in two groups were 3.2% and 6.4% (P>0.05), the patient satifaction of 48 h following-up in two groups were 92.4%, 65.4% (P<0.0001), the stay in hospital were (23.1±12.3)h, (22.8±12.3)h, respectively (P>0.05), and there was no significant difference between two groups. Conclusion The use of vascular closure device enables early ambulation and reduce hospital stay for the patients. With Angio-Seal(superscript TM), the success rate and patient satisfaction are the best, and vascular complication is the least.

Topic Category 醫藥衛生 > 內科
醫藥衛生 > 外科
醫藥衛生 > 醫院管理與醫事行政