Document Detail


Efficacy and safety of the angioseal vascular closure device post antegrade puncture.
MedLine Citation:
PMID:  18253787     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
S Looby; A N Keeling; A McErlean; M F Given; T Geoghegan; M J Lee
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Publication Detail:
Type:  Journal Article     Date:  2008-02-06
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  31     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-06     Completed Date:  2008-07-16     Revised Date:  2009-03-09    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  558-62     Citation Subset:  IM    
Affiliation:
Department of Radiology, Beaumont Hospital, Dublin 9, Ireland.
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MeSH Terms
Descriptor/Qualifier:
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:
Cardiovasc Intervent Radiol. 2008 Nov-Dec;31(6):1255-6   [PMID:  18756370 ]

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