tailieunhanh - Báo cáo khoa học: "To plug or not to plug"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: To plug or not to plug? | Available online http content 8 2 87 Commentary To plug or not to plug Joseph Varon1 and Robert E Fromm Jr2 1 Professor The University of Texas Health Science Center St Luke s Episcopal Hospital Houston Texas USA 2Associate Professor Baylor College of Medicine The Methodist Hospital Houston Texas USA Correspondence Joseph Varon Published online 24 February 2004 Critical Care 2004 8 87-88 DOI cc2829 This article is online at http content 8 2 87 2004 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Coronary artery disease remains a common problem in industrialized countries. Percutaneous coronary interventions are usually performed utilizing the femoral approach. Arterial puncture-closing devices have been developed in hope to avoid manual compression and shortening the period of rest. In a recent meta-analysis in the Journal of the American Medical Association these devices have shown only marginal benefits over manual compression. Further well designed studies are necessary to document the comparative effects of these devices versus manual compression. Keywords arterial puncture coronary artery disease hemostasis percutaneous coronary angioplasty Coronary artery disease is a common malady in Western civilizations 1 . Coronary interventions have increased in frequency improving the quality of life for many coronary artery disease patients. In fact it is estimated that more than one million procedures occur each year 2 . Although complications in the coronary artery can be devastating peripheral complications are also of concern. These procedures involve arterial puncture with a relatively large bore cannula and hematoma formation pseudoaneurysms and other local complications are not infrequent 3 4 . Following percutaneous coronary interventions for acute and chronic coronary syndromes manual compression of the femoral access site has been standard management. Arterial puncture-closing .

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