| Immediate ambulation following diagnostic coronary angiography procedures utilizing a vascular closure device (The Closer). | |
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MedLine Citation:
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PMID: 12454334 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We investigated the safety and efficacy of The Closer, a suture-mediated vascular closure device, to facilitate immediate ambulation after diagnostic coronary angiography. METHODS AND RESULTS: We identified 487 non-consecutive patients who were eligible for an immediate ambulation protocol following vascular closure after diagnostic coronary angiography. A total of 434 patients (89%) were allowed immediate ambulation (mean time, 6.3 +/- 2.4 minutes) and 34 patients (7%) were treated with intermediate duration bed rest (mean time, 105.2 +/- 55.3 minutes). Of the 34 patients treated with intermediate duration bed rest, ten had minor bleeding from the arterial access tract requiring 2 5 minutes of light compression and 24 were delayed secondary to physician preference. Nineteen patients (4%) failed to achieve hemostasis with The Closer. Outpatients were followed up at 24 hours, and inpatients were followed up the next morning. Four patients (0.8%) suffered recurrent femoral artery bleeds after initially successful vascular closure. Three recurrent bleeds occurred during the observation period in-hospital and one occurred 6 days after device deployment. At follow-up, no patients developed the following: hematoma > 4 cm, ipsilateral retroperitoneal bleed, arterio-venous fistula, pseudoaneurysm, access site infection or loss of distal pulses. No patients had lower extremity ischemia or required blood transfusion. CONCLUSION: Use of The Closer after diagnostic angiography with subsequent immediate ambulation is safe and effective for most patients. Overall, hemostasis was achieved in 96% of patients, with 89% of our patients able to ambulate immediately and 7% able to ambulate after intermediate duration bed rest. |
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Authors:
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Christopher H Crocker; Kevin T Cragun; Farris K Timimi; Robert J Houlihan; Malcolm R Bell; Ryan J Lennon; Kirk N Garratt; David R Holmes; Henry H Ting |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 14 ISSN: 1042-3931 ISO Abbreviation: J Invasive Cardiol Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-11-27 Completed Date: 2003-02-06 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 728-32 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Ambulatory Care Cohort Studies Coronary Angiography / methods* Coronary Disease / diagnosis* Early Ambulation* Equipment Design Equipment Safety Female Heart Catheterization / methods* Hemostasis, Surgical / instrumentation* Humans Male Middle Aged Punctures Retrospective Studies Sensitivity and Specificity Surgical Instruments Suture Techniques / instrumentation* Time Factors |
| Comments/Corrections | |
Comment In:
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J Invasive Cardiol. 2002 Dec;14(12):733-4
[PMID:
12454335
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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