Clinical application of the suture hemostasis device Perclose after coronary interventional procedure for senile patients

Objective To evaluate the safety and efficacy of the suture hemostasis device Perclose after coronary interventional procedure in the elderly. Methods The 204 elderly patients who underwent coronary interventional procedure were divided into two groups: 97 patients accepted Perclose device for hemostasis(the suture group); 107 patients accepted manual method for hemostasis(the control group). Times to successful hemostasis, times to crura ambulance, and complications associated with the proce-dure were recorded.Results The rates of successful hemostasis were 92.8% in the suture group and 93.5% in the control group( Times to successful hemostasis were (1.9 in the suture group and (27.5 in the control group(t=17.3,P0.01); times to ambulation were (4.0 vs (22.0 in the suture and control groups respectively(t=29.3,P0.01). The occurence rates of complication were 3.1% vs 18.7% in the suture group and control group respectively( Conclusion Perclose suture device is safe and effective for hemostasis of the femoral access site after coronary interventional procedure in elderly patients. The benefit compared with the control group was as following: (1)Times to successful hemostasis and to crura ambulation were shorter than the control group. The patients′discomfort from the crura motionless were decreased.(2)The occurence rate of complication was decreased significantly. The disadvantage is too expensive.