接受华法林抗凝治疗的患者行经股动脉冠状动脉造影术后手压止血的效果

作     者：El-Jack S.S. Ruygrok P.N. Webster M.W.I. 马超 

作者机构：Green Lane Cardiovascular Service Auckland City Hospital Auckland New Zealand Dr. 

出 版 物：《世界核心医学期刊文摘（心脏病学分册）》 (Digest of the World Core Medical Journals(Cardiology))

年 卷 期：2006年第2卷第6期

页      面：35-35页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 100214[医学-肿瘤学] 10[医学] 

主　　题：冠状动脉造影术后 抗凝治疗 经股动脉 手压止血 华法林 患者 国际标准化比值 血管并发症 统计学差异 造影术前 

摘      要：We evaluated the effectiveness of manual pressure hemostasis after transfemoral coronary angiography in patients on therapeutic warfarin anticoagulation(international normalized ratio [INR] 2.0 to 3.0) compared with discontinuing warfarin 48 hours before the procedure(INR 2.0). There was a low incidence of small hematomas with either strategy(no significant difference) and no major vascular complications. No prolonged hospital stay due to an access site complication was observed, and no thromboembolic events occurred. In conclusion, transfemoral coronary angiography appears to be safe in patients on warfarin with an INR of 2.0 to 3.0.