罗建方-血管缝合器在经皮行主动脉腔内修复术应用中的早期经验.pdfVIP

2010 6 18 3 Chin J Intervent Cardio,l June2010, Vol 18, No3 135 罗建方 黄文晖 刘媛 倪忠涵 薛凌 范瑞新 周颖玲 陈纪言 ! 2009 10 11, 9 11 , CTA , Zenith T 2( Cook, ) 4, Valiant (M edtronic, ) 3, Hercules (M icroport, ) 2, 5 Debakey ∀ , 3 1 , ( 612 # 116)( 7); 9; 5; 3 16 Fr 2, 20 Fr 2, 22 Fr 3, 24 Fr 4 ; 9 2 Perclose Pro TM G lide (Abbott, ), 2 3, 100%; TM , Perclose ProG lide , ! ; ; doi: 103969/jissn10048812201003004 TM P re lim inary exp er iences w ith P erclose devices during p ercutaneous endovascu lar aort ic repair * L UO J ianf ang , H UANG W enhu ,i LIU Yuan, NI Zhonghan, X UE L ing, FAN Ru ix in, ZH OU Yingling, * CHEN J iyan D e artm ent of Cardiology, Card iovascular Ins titute Guangdong , Guangzhou 510010, China Corres ond ing author: LUO J ianf ang, Em ail: luoj ianf ang@ m edmailcom cn A bstrac t! O bjec tive To assess the feasibility, safety and effectiveness of full percutaneous endovascular aortic repair using a Preclose technique for puncture and closure of femoral access sites M ethod s From Oct 2009 to Nov 2009, this technique was applied to 11 femoral sites in 9 patients PreproceduralCTA or ultrasoundwas performed to assess the suitability of common femoral artery anatomy Endografts used included Zenith T 2 ( Cook, USA ) ( n = 4), V aliant(M edtronic, USA ) ( n = 3) and Hercules (M icroport, China) ( n = 2) V ital signs, femoral sites and lmi b circulation were examined mi mediately after suture and during hospitalization Technical success and complication rates were evaluated Resu lts The 9 patients ( 7males; mean age: 612# 116 years) included 5 Debakey ∀ aortic dissections, 3 abdom inal aortic aneurysms and 1 thoracic anearysmThe commonest comorbi