Аннотация
Устройства для закрытия пункционных отверстий в последнее время пришли на смену мануальной компрессии и используются для достижения гемостаза в месте артериального доступа при проведении эндоваскулярных процедур. Активные устройства для закрытия пункционных отверстий сокращают время наступления гемостаза, время активизации и госпитализации пациентов, повышают комфорт пациента в послеоперационном периоде. Устройства снижают частоту постпункционных осложнений и позволяют непрерывно проводить антикоагуляционную терапию. Однако активные устройства для закрытия пункционных отверстий имеют ряд ограничений в использовании, в том числе небольшие размеры артерии, заболевания кровеносной и кроветворной систем организма, ожирение, воспалительные заболевания, неконтролируемую артериальную гипертензию и выраженные заболевания периферических сосудов. Устройства могут вызывать ишемию нижних конечностей и инфекцию мягких тканей паховой области, редко встречающиеся при мануальной компрессии. Несмотря на обширное освещение данной темы в современной литературе, безопасность и эффективность отдельных устройств для закрытия пункционных отверстий требуют дальнейшего изучения.
Литература
- Williams F.H. An Outline of some of the clinical uses of the Röntgen light. Trans. Am. Climatol. Assoc. 1898; 14: 111–48.
- Kerley P. Radiology in heart disease. Br. Med. J. 1933; 2: 594.
- Forssmann W. Die Sondierung des Rechten Herzens. Klinische Wochenschrift. 1929; 8 (45): 2085–7.
- Sones F.M. Cinecoronarography. Circulation. 1959; 20: 773.
- Radner S. Thoracal aortography by catheterization from the radial artery; preliminary report of a new technique. Acta Radiol. 1948; 29: 178–80.
- Seldinger S.I. Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta Radiol. 1953; 39: 368–76.
- Judkins M.P. Selective coronary arteriography. I. A percutaneous transfemoral technic. Radiology. 1967; 89 (5): 815–24.
- Campeau L. Percutaneous radial artery approach for coronary angiography. Cathet. Cardiovasc. Diagn. 1989; 16: 3–7.
- Kiemeneij F., Laarman G.J. Percutaneous transradi- al artery approach for coronary stent implantation. Cathet. Cardiovasc. Diagn. 1993; 30: 173–8.
- Criado F.J.,Twena M., Halsted M., Abul-Khoudoud O. Percutaneous femoral puncture for endovascular treatment of occlusive arterial lesions. Am. J. Surg. 1998; 176 (2): 119–21.
- Waksman R., King S.B. 3rd, Douglas J.S., Shen Y., Ewing H., Mueller L. et al. Predictors of groin complications after balloon and new-device coronary intervention. Am. J. Cardiol. 1995; 75: 886–9.
- Omoigui N.A., Califf R.M., Pieper K., Keeler G., O'Hanesian M.A., Berdan L.G. et al. Peripheral vascular complications in the Coronary Angioplasty Versus Excisional Atherectomy Trial (CAVEAT-I). J. Am. Coll. Cardiol. 1995; 26: 922–30.
- Mlekusch W.,Minar E.,Dick P.,Sabeti S.,Bartok A., Haumer M. et al. Access site management after peripheral percutaneous transluminal procedures: Neptune pad compared with conventional manual compression. Radiology. 2008; 249: 1058–63.
- Hamel W.J. Femoral artery closure after cardiac catheterization. Crit Care Nurse. 2009; 29 (1): 39–46.
- Madigan J.B., Ratnam L.A., Belli A.M. Arterial clo- sure devices. J. Cardiovasc. Surg. (Torino). 2007; 48: 607–24.
- McConnell M.K., McDilda K., Bridges R., Marsh N., Jenkins G., Dowdy J., Prasnikar M. Comparison of different methods for achieving hemostasis after arterial sheath removal. J. Cardiovasc. Nurs. 2012; 27 (4): E1–5.
- Applegate R.J.,Sacrinty M.T.,Kutcher M.A., Baki T.T., Gandhi S.K., Santos R.M. et al. Propensity score analysis of vascular complications after diagnostic cardiac catheterization and percutaneous coronary intervention using thrombin hemostatic patch- facilitated manual compression. J. Invasive Cardiol. 2007; 19: 164–70.
- Politi L., Aprile A., Paganelli C., Amato A., Zoccai G.B., Sgura F. et al. Randomized clinical trial on shorttime compression with Kaolin-filled pad: a new strategy to avoid early bleeding and subacute radial artery occlusion after percutaneous coronary intervention. J. Interv. Cardiol. 2011; 24 (1): 65–72.
- Juergens C.P., Leung D.Y., Crozier J.A., Wong A.M., Robinson J.T., Lo S. et al. Patient tolerance and resource utilization associated with an arterial closure versus an external compression device after percutaneous coronary intervention. Cathet. Cardiovasc. Interv. 2004; 63: 166–70.
- Gall S., Tarique A., Natarajan A., Zaman A. Rapid ambulation after coronary angiography via femoral artery access: A prospective study of 1,000 patients. J. Invasive Cardiol. 2006; 18: 106–8.
- Kunert M., Gremmler B., Schleiting H., Ulbricht L.J. Use of FemoStop system for arterial puncture site closure after coronary angioplasty. J. Invasive Cardiol. 2004; 16: 240–2.
- Jaspers L., Benit E. Immediate sheath removal after PCI using a Femostop is feasible and safe. Results of a registry. Acta Cardiol. 2003; 58 (6): 535–7.
- Kussmaul W.G., Buchbinder M., Whitlow P.L., Aker U.T., Heuser R.R., King S.B. et al. Rapid arterial hemostasis and decreased access site complications after cardiac catheterization and angioplasty: Results of a randomized trial of a novel hemostatic device. J. Am. Coll. Cardiol. 1995; 25: 1685–92.
- Bui Q.T., Kolansky D.M., Bannan A., Herr- mann H.C. «Double wire» Angio-Seal closure tech- nique after balloon aortic valvuloplasty. Cathet. Cardiovasc. Interv. 2010; 75: 488–92.
- Applegate R.J., Grabarczyk M.A., Little W.C., Craven T., Walkup M., Kahl F.R. et al. Vascular closure devices in patients treated with anticoagulation and IIb/IIIa receptor inhibitors during percutaneous revascularization. J. Am. Coll. Cardiol. 2002; 40: 78–83.
- Martin J.L., Pratsos A., Magargee E., Mayhew K., Pensyl C., Nunn M. et al. A randomized trial comparing compression, Perclose Proglide and AngioSeal VIP for arterial closure following percutaneous coronary intervention: The CAP trial. Cathet. Cardiovasc. Interv. 2008; 71: 1–5.
- Chung J., Lee D.W., Kwon O.S., Kim B.S., Shin Y.S. Angio-SealTM EvolutionTM versus manual compression for common femoral artery puncture in neurovascular diagnostic angiography: A prospective, non-randomized study. J. Korean Neurosurg. Soc. 2011; 49 (3): 153–6.
- Nikolsky E., Mehran R., Halkin A., Aymong E.D., Mintz G.S., Lasic Z. et al. Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary proce- dures: A meta-analysis. J. Am. Coll. Cardiol. 2004; 44: 1200–9.
- Applegate R.J., Rankin K.M., Little W.C., Kahl F.R., Kutcher M.A. Restick following initial Angioseal use. Cathet. Cardiovasc. Interv. 2003; 58: 181–4.
- Hermiller J.B., Simonton C., Hinohara T., Lee D., Cannon L., Mooney M. et al. The StarClose Vascular Closure System: Interventional results from the CLIP study. Cathet. Cardiovasc. Interv. 2006; 68: 677–83.
- Branzan D., Sixt S., Rastan A., Schwarz T., Schwarzwälder U., Bürgelin K. et al. Safety and effi- cacy of the StarClose vascular closure system using 7-F and 8-F sheath sizes: A consecutive single-center analysis. J. Endovasc. Ther. 2009; 16: 475–82.
- Матчин Ю.Г., Драгнев А.Г., Балахонова Т.В., Беленков Ю.Н. Первый опыт применения клипирующего устройства для закрытия артериального доступа после эндоваскулярного лечения коронарных артерий. Кардиология. 2008; 1: 15–8.
- Deuling J.H., Vermeulen R.P., Anthonio R.A., van den Heuvel A.F., Jaarsma T., Jessurun G. et al. Closure of the femoral artery after cardiac catheterization: A comparison of Angio-Seal, StarClose and manual compression. Cathet. Cardiovasc. Interv. 2008; 71: 518–23.
- Kee S.T. Arterial puncture site management. Appl. Radiol. 2000; 29 (7): 7–12.
- BhattD.L.,RaymondR.E.,FeldmanT.,BradenG.A., Murphy B., Strumpf R. et al. Successful «pre-closure» of 7Fr and 8Fr femoral arteriotomies with a 6Fr suture-based device (the Multicenter Interventional Closer Registry). Am. J. Cardiol. 2002; 89: 777–9.
- Vaitkus P.T. A meta-analysis of percutaneous vascular closure devices after diagnostic catheterization and percutaneous coronary intervention. J. Invasive Cardiol. 2004; 16: 243–6.
- Chou T.M. Vascular complications and arteriotomy closure devices during percutaneous coronary procedures. J. Am. Coll. Cardiol. 2005; 45: 2095–6.
- Tavris D.R., Gallauresi B.A., Lin B., Rich S.E., Shaw R.E., Weintraub W.S. et al. Risk of local adverse events following cardiac catheterization by hemostasis device use and gender. J. Invasive Cardiol. 2004; 16: 459–64.
- Cooper C.L., Miller A. Infectious complications related to the use of the Angio-seal hemostatic puncture closure device. Cathet. Cardiovasc. Interv. 1999; 48: 301–3.
- Bent C.L., Kyriakides C., Matson M. Femoral artery stenosis following percutaneous closure using a StarClose closure device. Cardiovasc. Intervent. Radiol. 2008; 31: 814–6.
- Piper W.D., Malenka D.J., Ryan T.J. Jr, Shu- brooks S.J. Jr, O'Connor G.T., Robb J.F. et al. Pre- dicting vascular complications in percutaneous coronary interventions. Am. Heart J. 2003; 145: 1022–9.
- Dauerman H.L., Applegate R.J., Cohen D.J. Vascular closure devices: The second decade. J. Am. Coll. Cardiol. 2007; 50: 1617.
Об авторах
- Бокерия Лео Антонович, академик РАН и РАМН, директор ФГБУ «Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева» Минздрава России;
- Мусалов Абдулгамид Юсубалиевич, науч. сотр.
