Local hemostasis during endovascular interventions


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Abstract

Endovascular techniques are an important part of modern surgery , proven to be effective in the diagnosis and treatment of neoplastic
processes , diseases of the heart and blood vessels , surgical infections and bleeding. Research continues to develop equipment
manipulations , optimal drug prevention schemes , various methods of vascular imaging , devices for closing defects arteries and
others. The article reflects the relevance of the use of endovascular interventions , and historical aspects of local complications of
this technology . Particular attention was paid to the authors of hemorrhagic complications arising in the artery catheterization
with a frequency of 1.5 to 9 %. The article indicated predisposing local factors of complications , such as advanced age , presence
of anatomical features of the structure , blood diseases , heart, diabetes , obesity, renal failure , atherosclerosis, polimorbitnoy
pathology; In particular , only the risk of bleeding complications in patients age may reach 9 % or more. The article lists the
triggers of hemorrhagic complications after arterial puncture: the use of anticoagulant, thrombolytic and antiplatelet therapy,
repeated surgeries, prolonged exposure introdyussera in the artery, the use of instruments larger than 7 Fr, insufficient experience
of the operator and thoroughness puncture and subsequent hemostasis and others. Authors reduce the number slozhneny allows
professional staff , ultrasonic testing , which should be used in patients with hip circumference of 60 cm, in cases when impossibility
of determining the pulsation of the artery. The article presents the classification of devices for local hemostasis , according to which
the isolated compression , ligation , and klipiruyuschie occlusive device summarizes characteristics specific devices , presented
how they work , given the positive and negative aspects of their application. The results of the use of devices for hemostasis in the
literature are very contradictory and insufficient , which requires further study the effectiveness of their use in different groups of
patients.

About the authors

N.N. Burdenko Voronezh State Medical University, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Author for correspondence.
Email: admin@vestnik-surgery.com
д.м.н., проф. кафедры общей хирургии Воронежского государственного медицинского унирситета им. Н.Н.Бурденко

Voronezh regional clinical Oncology dispensary, Russia, 394036, Voronezh, street Vaitsekhovskaya, d. 4

Email: admin@vestnik-surgery.com
д.м.н., малоинвазивный хирург Воронежского областного клинического онкологического диспансера

N.N. Burdenko Voronezh State Medical University, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Email: admin@vestnik-surgery.com
д.м.н., проф., зав. кафедрой общей хирургии Воронежского государственного медицинского университета им. Н.Н.Бурденко.

Voronezh regional clinical Oncology dispensary, Russia, 394036, Voronezh, street Vaitsekhovskaya, d. 4

Email: admin@vestnik-surgery.com
врач Воронежского областного клинического онкологического диспансера

N.N. Burdenko Voronezh State Medical University, 10 Studencheskaia Str., Voronezh, 394036,
Russian Federation

Email: admin@vestnik-surgery.com
ассистент кафедры общей хирургии Воронежского государственного медицинского университета им. Н.Н.Бурденко

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