| "Pre-closure of large sized venous access sites in adults undergoing transcatheter structural interventions" | |
| | |
MedLine Citation:
|
PMID: 22431302 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Patients requiring congenital and structural heart interventions often require large-sized sheath insertion into femoral veins and arteries. Clinical outcome data on the use of suture-mediated devices for femoral venous access site closure is limited. OBJECTIVE: To assess the efficacy and safety of the Perclose ™ (Abbott Vascular Devices, CA, USA) suture-mediated device using the pre closure technique, in achieving haemostasis at femoral venous access site following large sheath insertion (≥8Fr). DESIGN AND SETTING: 243 consecutive patients underwent 310 access site closures with the Perclose ™ device using the pre closure technique. There were 151 (62%) women, mean age 43 (±16) years. 234/243 (96%) received heparin. Mean venous access site sheath diameter was 11.5 (±3) Fr. RESULTS: Immediate haemostasis (<2 minutes) was achieved in 304/310 (98%) sites. No patients had major complications. Short term follow up at 3 months revealed no evidence of haematoma or fistula formation or clinical evidence of vessel occlusion. On medium term clinical follow up (mean follow-up of 14 ± 12 and median of 12.4 months) no complications were seen at the venous access sites. CONCLUSION: Pre-closure of large-size femoral venous access sheath sites using the suture-mediated Perclose™ device is efficacious in achieving rapid haemostasis in the presence of anticoagulation in the venous site. On one year follow-up there was no clinical evidence of vascular complications in the venous access sites. © 2012 Wiley Periodicals, Inc. |
| | |
Authors:
|
Dr Tahir Hamid; Dr Rajinikanth Rajagopal; Dr Charlene Pius; Dr Bernard Clarke; Dr Vaikom S Mahadevan |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-3-16 |
Journal Detail:
|
Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: - ISSN: 1522-726X ISO Abbreviation: - Publication Date: 2012 Mar |
Date Detail:
|
Created Date: 2012-3-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012 Wiley Periodicals, Inc. |
Affiliation:
|
Manchester Royal Infirmary, University of Central Manchester and Manchester, University Children's Hospital, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An 11-channel radio frequency phased array coil for magnetic resonance guided high-intensity focused...
Next Document: Perceptions of Mentoring of Full-Time Occupational Therapy Faculty in the United States.