使用 Perclose 血管闭合装置进行心房颤动消融术后早期活动和止血的初步见解。

Circulation reports Pub Date : 2024-08-01 eCollection Date: 2024-09-10 DOI:10.1253/circrep.CR-24-0045
Ryuki Chatani, Kota Morikawa, Mitsuru Yoshino, Hiroshi Tasaka, Kazushige Kadota
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摘要

背景:日本在心房颤动(房颤)消融术中引入了Perclose血管闭合装置(VCD),有望促进患者尽早下床活动:研究对象包括 554 名接受房颤消融术的患者,其中 377 人在手术结束时成功安装了 Perclose VCD。术后 4 小时,94% 的患者(353/377 例)实现了早期止血,57% 的患者(213/377 例)实现了早期下床活动。值得注意的是,0.5%(2/377 名患者)发生了急性深静脉血栓:结论:Perclose VCD 在实现早期止血方面具有良好的疗效,可帮助合适的患者尽早康复出院。
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Preliminary Insights Into Early Ambulation and Hemostasis After Atrial Fibrillation Ablation Using the Perclose Vascular Closure Device.

Background: The introduction of the Perclose vascular closure device (VCD) for atrial fibrillation (AF) ablation procedures in Japan is expected to facilitate early ambulation.

Methods and results: The study population comprised 554 patients undergoing AF ablation, of whom 377 successfully underwent Perclose VCD deployment at the end of the procedure. At 4 h after the procedure, 94% (353/377 patients) achieved early hemostasis and 57% (213/377 patients) achieved early ambulation. Notably, 0.5% (2/377 patients) developed acute deep vein thrombosis.

Conclusions: The Perclose VCD demonstrated promising efficacy in achieving early hemostasis, potentially facilitating early ambulation and discharge in appropriate patients.

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