新疆医科大学学报

目的探讨在股动脉穿刺部位采用预先缝合技术实施经皮主动脉腔内修复术的可行性及优越性。方法选择2012年8月16日新疆医科大学第一附属医院心脏中心收治的主动脉夹层患者1例。本例患者先后分别使用传统技术与经皮预缝合技术行主动脉夹层支架腔内修复术,比较两种术式患者住院天数、术后监护天数、疤痕形成等情况。结果与传统股动脉切开术相比,经皮穿刺预缝合技术在住院天数、术后监护天数、疤痕形成情况明显优于传统的股动脉切开术式。结论在实施主动脉腔内修复术中,使用经皮穿刺预缝合穿刺口的技术,是替代股动脉切开安全可行的方法。

Objective To discuss the feasibility and superiority of full percutaneous endovascular aortic repair using a preclose technique for puncture and closure of femoral access sites.Methods A retrospective analysis was used in one case with aortic dissection from August 2012 in Heart Center Department of the First Affiliated Hospital of Xinjiang Medical University.Compared of the patient hospital stay time,postoperative days,scar formation,who was successively used traditional technology and preclose technique for puncture and closure of femoral access sites.Results Compared with the traditional technology,preclose technique in hospital stay time,postoperative days,scar formation conditions was obviously superior.Conclusion This study confirms that full percutaneous endovascular aortic repair using the preclose technique is safe and effective which can be adopted as an alternative technique of surgically cut-down EVAR.