| A comparison of arterial closure devices to manual compression in liver transplantation candidates undergoing coronary angiography. | |
| | |
MedLine Citation:
|
PMID: 12556618 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
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 |
Related Documents
:
|
8479068 - Pulmonary artery catheterization. can there be an integrated strategy for guideline dev... 19455688 - Pulmonary arterial hypertension and right heart failure--a late-onset complication afte... 2303308 - Echocardiographic demonstration of resolving intrapericardial mass in tuberculous peric... 17098478 - Coronary artery aneurysms in patients with hyper ige recurrent infection syndrome. 20569548 - Cerebral aneurysm perforations during treatment with detachable coils. use of remodelli... 21848928 - The endothelium modulates the arterial wall mechanical response to intra-aortic balloon... |
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 |
Affiliation:
|
Northwestern Memorial Hospital, Chicago, IL 60611, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cohort Studies Coronary Angiography* Equipment Safety Female Heart Catheterization / instrumentation Heart-Assist Devices* / adverse effects Humans Illinois Liver Failure / complications, epidemiology, surgery Liver Transplantation / instrumentation* Male Middle Aged Postoperative Complications / epidemiology, etiology, radiography Prospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Post-cardiac catheterization access site complications and low-molecular -weight heparin following c...
Next Document: Selective coronary artery fistula embolization with hystoacryl during percutaneous coronary angiopla...