| Efficacy and safety of the angioseal vascular closure device post antegrade puncture. | |
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MedLine Citation:
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PMID: 18253787 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In this study, the efficacy and safety of the Angioseal vascular closure device post antegrade puncture of the common femoral artery (CFA) for lower limb vascular interventional procedures are evaluated. A retrospective analysis of the medical records of 60 consecutive patients who were referred for interventional procedures in the superficial femoral artery (SFA) or popliteal artery (popl. art.) was performed. Antegrade puncture was successfully performed in 58 of 60 patients (96.6%). Indications included right SFA angioplasty (n = 35), left SFA angioplasty (n = 17), right popl. art. angioplasty (n = 5), and left popl. art. angioplasty (n = 1). Hemostasis was achieved by, on an intention-to-treat basis, the Angioseal vascular closure device in 46 patients and manual compression in 12 patients. Manual compression was used instead of Angioseal because of severe calcified arterial wall plaques (n = 7), failed deployment of the Angioseal (n = 4), and left SFA dissection (n = 1). There were no major recorded complications in the Angioseal group despite the use of antiplatelet or anticoagulant medications. Twenty-three (50%) of the patients in the Angioseal group were discharged within 24 h. Thirty-seven of the 46 patients who received an Angioseal device had undergone a previous ipsilateral CFA puncture (time range, 2 days to 56 months; mean, 6.2 months). Nine of these patients had undergone ipsilateral Angioseal deployment in the previous 3 months. We conclude that the Angioseal vascular closure device is a safe and efficient means of achieving hemostasis post antegrade puncture. |
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Authors:
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S Looby; A N Keeling; A McErlean; M F Given; T Geoghegan; M J Lee |
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Publication Detail:
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Type: Journal Article Date: 2008-02-06 |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 31 ISSN: 1432-086X ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2008 May-Jun |
Date Detail:
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Created Date: 2008-05-06 Completed Date: 2008-07-16 Revised Date: 2009-03-09 |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 558-62 Citation Subset: IM |
Affiliation:
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Department of Radiology, Beaumont Hospital, Dublin 9, Ireland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Catheterization, Peripheral / instrumentation*, methods Cohort Studies Equipment Design Equipment Safety Female Femoral Artery* Hemostatic Techniques / instrumentation* Humans Magnetic Resonance Angiography Male Middle Aged Peripheral Vascular Diseases / radiography, therapy Popliteal Artery* Punctures Radiology, Interventional / instrumentation, methods Retrospective Studies Sensitivity and Specificity |
| Comments/Corrections | |
Comment In:
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Cardiovasc Intervent Radiol. 2008 Nov-Dec;31(6):1255-6
[PMID:
18756370
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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