Abstract
ObjectiveTo explore the effects of two different hemostasis methods, namely, arterial compression devices and vascular closure devices, in the ischemic cerebrovascular intervention to provide a theoretical basis for clinical selection of hemostasis methods.MethodsA total of 302 patients who underwent ischemic cerebrovascular intervention in our hospital from January 2016 to December 2020 were selected as the research subjects and randomly divided into the control group (n = 151) and the observation group (n = 151). The patients in both groups underwent cerebrovascular intervention. The patients in the control group were treated with an artery compressor for hemostasis after the operation, while those in the observation group were treated with vascular closure devices for hemostasis. The hemostatic indexes and vascular parameters at the puncture site before and after the operation were compared between the two groups. The comfort level of the patients was assessed at 6, 12, and 24 h after the operation with the Kolcaba Comfort Scale score, and the postoperative complications were recorded.ResultsThere was no significant difference in the success rate of hemostasis between the two groups (p > 0.05). The hemostatic time and immobilization time of (2.69 ± 0.62) min and (4.82 ± 0.93) h in the observation group were lower than those in the control group with (16.24 ± 3.58) min and (7.94 ± 1.86) h (p < 0.05). The differences in the minimum inner diameter of the puncture site and its nearby vessels and the peak velocity of blood flow between the two groups before and after the operation were not statistically significant within or between groups (p > 0.05). The scores of the Kolcaba comfort scale in the observation group (80.16 ± 8.49) and (93.65 ± 9.26) at 6 and 12 h, respectively, after the operation, were higher than those in the control groups (72.08 ± 7.54) and (85.49 ± 8.63) (p < 0.05). The 24 h postoperative Kolcaba comfort scale score was (97.54 ± 9.86) in the observation group and (96.82 ± 9.64) in the control group, and the difference was not statistically significant (p > 0.05). In the control group, there were 7 cases of dysuria, 12 cases of low back pain, 14 cases of sleep disorder, 20 cases of mental stress, and 5 cases of wound bleeding, and the total incidence of complications was 38.41% (58/151). In the observation group, there were 4 cases of dysuria, 8 cases of low back pain, 10 cases of sleep disorder, 14 cases of mental stress, and 3 cases of wound bleeding, and the total incidence of complications was 25.83% (39/151). The total incidence of complications in the observation group was lower than that in the control group (p < 0.05).ConclusionFor patients with ischemic cerebrovascular disease undergoing femoral artery puncture intervention, the use of vascular closure devices can stop the bleeding quickly, which can significantly shorten the bleeding time, and the postoperative braking time of patients is short, with high comfort and fewer complications.
Highlights
Cerebrovascular disease refers to acute and chronic cerebrovascular diseases caused by various reasons
Inclusion criteria: preoperatively enhanced CT, MRI, and digital subtraction angiography were performed in all patients to identify the stenotic cerebral artery vessels and sites; all the patients underwent cerebrovascular intervention—those who are conscious before surgery; Preoperative examination of coagulation function, liver and kidney function, and heart function is normal
The microwire is inserted along that guide catheter, and the head end of the microwire is inserted through the vascular stenosis and is positioned at the distal end thereof; the balloon dilatation catheter was inserted along the microwire to expand the stenosis, and the stent was placed at the stenosis
Summary
Cerebrovascular disease refers to acute and chronic cerebrovascular diseases caused by various reasons. The clinical treatments of ischemic cerebrovascular diseases mainly include medication, surgery, and intervention [3, 4]. Due to its advantages of not damaging brain nerve fibers, a short time of blocking the blood flow during surgery, and its applicability to high-level stenosis, it is one of the most important methods for the treatment of cerebral artery stenosis after the surgical carotid endarterectomy [7, 8]. It is extremely important to select a hemostatic method with few complications, high comfort, and easy caring Both the arterial compression devices and the vascular staplers are new hemostatic devices. The purpose of this study was to investigate the application effects of two different hemostasis methods, namely, the artery compressor and the arterial suture device in the ischemic cerebrovascular intervention, to provide a theoretical basis for clinical selection of hemostasis methods
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
