Percutaneous coronary intervention of vascular clo

e707004304 · Wysłany: Nie 12:23, 06 Mar 2011

Percutaneous coronary intervention of vascular closure device artery wound care

thewoundcareusingtheACDafterpercutaneouscoronaryarteryintervention. MethodsTwohundredandninetytwopatientswhounderwentpercutaneouscomnaryarteryinterventionweretreatedwiththeACD. Afteroperation, thewoundwaspressuredwithsandbagof1kgweightfor3-4hours. Patientsstayedinbedfor4-6hours. Meticulousobservationshouldbetakeninordertofindhemorrhageandhematomas. ResultsTherewerenoseverecomplicationsinCAGgroup. InPTCAplusCSgroup. onecasehadasubcutaneoushema Magic maswithasizeof2cmx3amand11case8hadhemorrhage. ConclusionPerfectoperatingtechnique, closewoundobservationandmeticulouswoundcarecanmakethewoundhealingquickly, shortenbedresttimeandrelievepatientspain. [Keywords] pereutaneouscoronaryarteryintelwention; bloodvessels; ACD; arterialpuncture; nursing interventional cardiology with the development of the growing number of interventional procedures, percutaneous coronary intervention (PCI) is the heart of effective medical treatment method for coronary heart disease. Femoral artery commonly used clinical approach. Balloon dilatation of coronary stent installation of ten patients (PTCA + CS) after conventional indwelling arterial sheath, due to high postoperative anticoagulant,[link widoczny dla zalogowanych], antiplatelet drug application or press properly,[link widoczny dla zalogowanych], local wound bleeding, hematoma and false aneurysm as the more common complications. Vascular closure device (ACD) is used to close arterial puncture site after the puncture, after its application allows the efficient anticoagulant, push factors appear improper local bleeding, hematoma, and pseudoaneurysm significantly reduced the incidence of 【¨. Our hospital from September 2001 onwards will be closed ACD puncture site after PCI for, and achieved good results, postoperative wound care are summarized, as reported in patients treated by PCI. Femoral artery puncture in which coronary angiography (CAG) 167 cases, 105 cases of male,[link widoczny dla zalogowanych], female 62 cases, aged 33 to 79 years, mean age 59 +10.1; PTCA + CS125 cases,[link widoczny dla zalogowanych], male 95 cases,[link widoczny dla zalogowanych], 30 cases of women , aged 32 to 76 years, average 59 ~ 11.2 years. 1.2 Treatment of ACD our hospital is the U.S. production of TM-and STM-based 6F percutaneous vascular surgery device to stop bleeding, it is by the propeller of a knotted and knotted equipment consisting of, knotting device includes a sheath, a possession of two Tibetan needle suture needle barrel, a needle guidance device. When the PCI of surgery. Equipment will be tied into the artery at the puncture site, guided by the needle suture needle suture determines site. Will lay the suture knot in vitro. Pushed by the propeller artery knotted surface, vascular puncture closure. To achieve the desired hemostatic effect. 1 Materials and Methods 2 Results 1.1 Clinical Data in September 2001 ~ December 2002 received 292 patients were treated [Received Date] 2004-09-10 [Author] Hu Chunhua (1962 a), female. Beijing, charge nurse, head nurse, undergraduate, work mainly in cardiovascular medicine. CAG no postoperative bleeding wound in 1 patient, PTCA + CS 2cmx3cm postoperative subcutaneous hematoma in 1 patient, 11 patients had wound bleeding, 3.77% of the total number of operations, accounting for the total operation PTCA + CS 8.80 %, with overweight and body fat in 6 cases.