| Novel femoral artery puncture closure device in patients undergoing interventional and diagnostic cardiac procedures. | |
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MedLine Citation:
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PMID: 11773688 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The wide range of closure devices for arterial access sites still leaves room for improvement. METHODS AND RESULTS: We report our initial experience with a novel, cost-effective, suture-mediated device (6 French X-PRESS device, X-SITE Medical, Blue Bell, Pennsylvania) for closure of the arterial access site after both diagnostic and therapeutic interventions. A total of 51 consecutive patients are reported. The closure was performed immediately after the procedure. No patient had more than 5,000 U heparin administered during the procedure. The closure device was used in 36 patients (73%) after diagnostic angiography and in 15 patients (27%) after therapeutic intervention. The device could be successfully deployed in 48 patients (94%). In the remaining 3 cases (6%), hemostasis was achieved with standard manual compression without any further event. Immediate total hemostasis was achieved with the device in 44 of 48 patients (92%). Four devices (8%) could not be deployed correctly due to technical problems and the patients needed additional manual compression. The average time to achieve complete hemostasis was 5.5 +/- 3.5 minutes (range, 3-26 minutes). The patients were ambulated after a period of 1.3 +/- 0.4 hours of bedrest (range, 0.8-3.5 hours). Time to possible discharge was 4.2 +/- 3.4 hours (range, 0.9-12.5 hours). One patient experienced a minor complication (hematoma < 6 cm) and was treated with manual compression without clinical sequelae. Telephone follow-up was carried out 2 weeks after deployment and revealed no sequelae. CONCLUSION: The 6 French X-PRESS device is safe and effective in providing rapid hemostasis following interventional or diagnostic catheterization procedures. Use of the device is associated with a low rate of complications and facilitates quick hemostasis, mobilization and discharge. |
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Authors:
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Haresh Mehta; Martin Fleisch; Tushar Chatterjee; Stephan Windecker; Ali Garachermani; Franz R Eberli; Bernhard Meier |
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Publication Detail:
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Type: Evaluation Studies; 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 Jan |
Date Detail:
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Created Date: 2002-01-04 Completed Date: 2002-03-06 Revised Date: 2004-11-17 |
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: 9-12 Citation Subset: IM |
Affiliation:
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Swiss Cardiovascular Center Bern, University Hospital, 3010 Bern, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiac Surgical Procedures / instrumentation* Diagnostic Techniques, Cardiovascular* Early Ambulation Equipment Design / instrumentation Equipment Safety / instrumentation Female Femoral Artery / surgery* Follow-Up Studies Hemostasis, Surgical / instrumentation Humans Male Prospective Studies Punctures / instrumentation* Suture Techniques / instrumentation Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Invasive Cardiol. 2002 Jan;14(1):13
[PMID:
11773689
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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