Document Detail

A comparison of arterial closure devices to manual compression in liver transplantation candidates undergoing coronary angiography.
MedLine Citation:
PMID:  12556618     Owner:  NLM     Status:  MEDLINE    
Whether arterial closure devices can be used safely in a coagulopathic population undergoing cardiac catheterization and at high risk for groin complications, such as liver transplant candidates, is unknown. In this prospective, non-randomized consecutive series of 80 liver transplant candidates undergoing coronary angiography, manual compression and arterial closure devices were compared. Ilio-femoral angiography was performed to determine suitability for use of the closure device. Bleeding and vascular complications were recorded along with time to ambulation. Arterial closure devices were used in 31 patients (39%), whereas manual compression was used in 49 patients (50 procedures) (61%). There were no significant differences between the two groups with respect to age, sex, cardiac risk factors, peripheral vascular disease, baseline platelet count or baseline INR. There were 10 total vascular complications out of 50 procedures (20%) in the manual compression group compared to 2 vascular complications out of 31 procedures in the arterial closure device group (6%; p = 0.12). The time to ambulation was significantly less in the group receiving arterial closure devices versus manual compression (4.2 1.8 hours versus 6.6 3.7 hours, respectively; p = 0.0003). In coagulopathic patients at higher risk for groin complications, arterial closure devices can be safely used and decrease time to ambulation compared to manual compression.
Lee A MacDonald; Nirat Beohar; Norman C Wang; Lisa Nee; Raj Chandwaney; Mark J Ricciardi; Keith H Benzuly; Sheridan N Meyers; Mihai Gheorghiada; Charles J Davidson
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  15     ISSN:  1042-3931     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-01-30     Completed Date:  2003-04-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  68-70     Citation Subset:  IM    
Northwestern Memorial Hospital, Chicago, IL 60611, USA.
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MeSH Terms
Cohort Studies
Coronary Angiography*
Equipment Safety
Heart Catheterization / instrumentation
Heart-Assist Devices* / adverse effects
Liver Failure / complications,  epidemiology,  surgery
Liver Transplantation / instrumentation*
Middle Aged
Postoperative Complications / epidemiology,  etiology,  radiography
Prospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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