Preclosure of large-sized venous access sites in adults undergoing transcatheter structural interventions

被引:21
作者
Hamid, Tahir
Rajagopal, Rajinikanth
Pius, Charlene
Clarke, Bernard
Mahadevan, Vaikom S. [1 ,2 ]
机构
[1] Univ Cent Manchester, Manchester Royal Infirm, Manchester M13 9WL, Lancs, England
[2] Manchester Univ Childrens Hosp, Manchester M13 9WL, Lancs, England
关键词
femoral vein; vascular closure devices; vascular complications; hemostasis; VASCULAR CLOSURE DEVICES; PERCUTANEOUS CORONARY INTERVENTION; SUTURE-MEDIATED CLOSURE; PUNCTURE SITE; CATHETERIZATION; MANAGEMENT; OUTCOMES;
D O I
10.1002/ccd.24358
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 are limited. Objective To assess the efficacy and safety of the Perclose (Abbott Vascular Devices, CA) suture-mediated device using the preclosure technique, in achieving haemostasis at femoral venous access site following large sheath insertion (8 Fr). Design and Setting Two hundred and forty-three consecutive patients underwent 310 access site closures with the Perclose device using the preclosure 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 min) 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 Preclosure 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 1-year follow-up, there was no clinical evidence of vascular complications in the venous access sites. (c) 2012 Wiley Periodicals, Inc.
引用
收藏
页码:586 / 590
页数:5
相关论文
共 16 条
[1]   Suture-mediated closure of the femoral access site after cardiac catheterization: Results of the suture to ambulate and discharge (STAND I and STAND II) trials [J].
Baim, DS ;
Knopf, WD ;
Hinohara, T ;
Schwarten, DE ;
Schatz, RA ;
Pinkerton, CA ;
Cutlip, DE ;
Fitzpatrick, M ;
Ho, KKL ;
Kuntz, RE .
AMERICAN JOURNAL OF CARDIOLOGY, 2000, 85 (07) :864-869
[2]   Closure of the femoral vein puncture site after transcatheter procedures using angio-seal [J].
Coto, HA .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2002, 55 (01) :16-19
[3]   Arterial Closure Devices Versus Manual Compression for Femoral Haemostasis in Interventional Radiological Procedures: A Systematic Review and Meta-Analysis [J].
Das, Rajib ;
Ahmed, Kamran ;
Athanasiou, Thanos ;
Morgan, Robert A. ;
Belli, Anna-Maria .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2011, 34 (04) :723-738
[4]   Management of arterial puncture site after catheterization procedures: Evaluating a suture-mediated closure device [J].
Gerckens, U ;
Cattelaens, N ;
Lampe, EG ;
Grube, E .
AMERICAN JOURNAL OF CARDIOLOGY, 1999, 83 (12) :1658-1663
[5]  
Haas PC, 1999, J ENDOVASC SURG, V6, P168, DOI 10.1583/1074-6218(1999)006<0168:COLPAS>2.0.CO
[6]  
2
[7]   Long Term Clinical Outcomes After Deployment of Femoral Vascular Closure Devices in Coronary Angiography and Percutaneous Coronary Intervention [J].
Lee, Stephen Wai-Luen ;
Ho, Hee-Hwa ;
Kong, Shun-Ling ;
Lam, Yui-Ming ;
Siu, Chung-Wah ;
Miu, Kin-Man ;
Lam, Linda ;
Chan, Hon-Wah .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2010, 75 (03) :345-348
[8]   Midterm outcomes of femoral arteries after percutaneous endovascular aortic repair using the Preclose technique [J].
Lee, W. Anthony ;
Brown, Michael P. ;
Nelson, Peter R. ;
Huber, Thomas S. ;
Seeger, James M. .
JOURNAL OF VASCULAR SURGERY, 2008, 47 (05) :919-923
[9]   Pre-closure of femoral venous access sites used for large-sized sheath insertion with the Perclose device in adults undergoing cardiac intervention [J].
Mahadevan, V. S. ;
Jimeno, S. ;
Benson, L. N. ;
McLaughlin, P. R. ;
Horlick, E. M. .
HEART, 2008, 94 (05) :571-572
[10]   Use of a percutaneous arterial suture device (Perclose) in patients undergoing percutaneous balloon aortic valvuloplasty [J].
Michaels, AD ;
Ports, TA .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2001, 53 (04) :445-447