暨南大学学报（自然科学与医学版）
暨南大學學報（自然科學與醫學版）
기남대학학보（자연과학여의학판）
JOURNAL OF JINAN UNIVERSITY（NATURAL SCIENCE & MEDICINE EDITION）
2013年
6期
660-663
,共4页
张在勇%张稳柱%宋明才%李健豪
張在勇%張穩柱%宋明纔%李健豪
장재용%장은주%송명재%리건호
主动脉病变%腔内修复术%预先缝合
主動脈病變%腔內脩複術%預先縫閤
주동맥병변%강내수복술%예선봉합
aortic disease%endovascular aortic repair%preclose technique
目的：回顾性评估采用Perclose Proglide系统预先埋置缝合技术对复杂主动脉病变患者行经皮主动脉腔内修复术的安全性及有效性。方法：入选复杂主动脉病变男性患者共13例，对14处穿刺部位进行预先埋置缝合技术，按照标准方法行造影及覆膜支架植入，术后对所有患者进行止血成功率、出血、血肿、假性动脉瘤、感染率及平均住院时间进行统计。结果：11例Debakey III夹层及2例腹主动脉瘤，其中8例夹层患者合并右髂动脉扭曲，1例合并右髂动脉狭窄，4例合并肾动脉开口狭窄；13例患者全患有高血压病；3例患有冠心病；1例有糖尿病。器械外径有20Fr 10例，22Fr 4例；13处穿刺口使用2套Perclose Proglide血管缝合器，另1处使用3套，止血成功率为100％；术后并发血肿1例，经处理后血肿消退，无假性动脉瘤发生，无术后感染。平均住院天数（9.4±3.3）d。结论：在实施复杂主动脉病变的腔内修复术中，如无其他禁忌症，使用Perclose Proglide缝合器预先缝合穿刺口技术是安全有效的。
目的：迴顧性評估採用Perclose Proglide繫統預先埋置縫閤技術對複雜主動脈病變患者行經皮主動脈腔內脩複術的安全性及有效性。方法：入選複雜主動脈病變男性患者共13例，對14處穿刺部位進行預先埋置縫閤技術，按照標準方法行造影及覆膜支架植入，術後對所有患者進行止血成功率、齣血、血腫、假性動脈瘤、感染率及平均住院時間進行統計。結果：11例Debakey III夾層及2例腹主動脈瘤，其中8例夾層患者閤併右髂動脈扭麯，1例閤併右髂動脈狹窄，4例閤併腎動脈開口狹窄；13例患者全患有高血壓病；3例患有冠心病；1例有糖尿病。器械外徑有20Fr 10例，22Fr 4例；13處穿刺口使用2套Perclose Proglide血管縫閤器，另1處使用3套，止血成功率為100％；術後併髮血腫1例，經處理後血腫消退，無假性動脈瘤髮生，無術後感染。平均住院天數（9.4±3.3）d。結論：在實施複雜主動脈病變的腔內脩複術中，如無其他禁忌癥，使用Perclose Proglide縫閤器預先縫閤穿刺口技術是安全有效的。
목적：회고성평고채용Perclose Proglide계통예선매치봉합기술대복잡주동맥병변환자행경피주동맥강내수복술적안전성급유효성。방법：입선복잡주동맥병변남성환자공13례，대14처천자부위진행예선매치봉합기술，안조표준방법행조영급복막지가식입，술후대소유환자진행지혈성공솔、출혈、혈종、가성동맥류、감염솔급평균주원시간진행통계。결과：11례Debakey III협층급2례복주동맥류，기중8례협층환자합병우가동맥뉴곡，1례합병우가동맥협착，4례합병신동맥개구협착；13례환자전환유고혈압병；3례환유관심병；1례유당뇨병。기계외경유20Fr 10례，22Fr 4례；13처천자구사용2투Perclose Proglide혈관봉합기，령1처사용3투，지혈성공솔위100％；술후병발혈종1례，경처리후혈종소퇴，무가성동맥류발생，무술후감염。평균주원천수（9.4±3.3）d。결론：재실시복잡주동맥병변적강내수복술중，여무기타금기증，사용Perclose Proglide봉합기예선봉합천자구기술시안전유효적。
Aim:To access the safety and effectiveness of preclose technique with Perclose Proglide devices during complicated percutaneous endovascular aortic repair(EVAR).Methods:Fourteen femo-ral sites of 1 3 complicated aortic patients received Preclose technique from.The haemostasis,hematoma, pseudoaneurysm,infection rate and mean length of hospital stay were evaluated.Results:The 1 3 male pa-tients included 1 1 Debakey III aortic dissections and 2 abdominal aortic aneurysms.8 of the dissections were accompanied with distortion and 1 with stenosis of right iliac artery,while 4 of them with stenosis of renal artery.All of them had hypertension history,3 CAD history and 1 diabetes history.Profiles of the devices were 20 Fr (n=1 0)and 22 Fr (n=4).Two Perclose ProGlide devices were used to 1 3 femoral puncture sites and three sets were used for other 1 sites.All procedures achieved technically successful, with 1 cases of hematoma,without pseudoaneurysm formation after operation,without infection.Mean length of hospital stay were (9.4 ±3.3 )days.Conclusion:If no other contraindications,it is safe and effective to use preclose technique during complicated percutaneous endovascular aortic repair.
