Document Detail

"Pre-closure of large sized venous access sites in adults undergoing transcatheter structural interventions"
MedLine Citation:
PMID:  22431302     Owner:  NLM     Status:  Publisher    
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.
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.
Manchester Royal Infirmary, University of Central Manchester and Manchester, University Children's Hospital, UK.
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