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Comparative Study
. 2015 May 9:15:34.
doi: 10.1186/s12872-015-0022-4.

Access site complications following transfemoral coronary procedures: comparison between traditional compression and angioseal vascular closure devices for haemostasis

Pei-Jung Wu  1 , Yu-Tzu Dai  2 , Hsien-Li Kao  3   4 , Chin-Hao Chang  5 , Meei-Fang Lou  6
Affiliations
Comparative Study

Access site complications following transfemoral coronary procedures: comparison between traditional compression and angioseal vascular closure devices for haemostasis

Pei-Jung Wu et al. BMC Cardiovasc Disord. .

Abstract

Background: Vascular closure devices such as angioseal are used as alternatives to traditional compression haemostasis. Although the safety and efficacy of angioseal are confirmed, their use remains controversial because of the potential complications of these devices compared with those of traditional compression haemostasis. The aim of this study was to compare the access site complication rate, the predictive factors for these complications, and patient comfort levels after coronary procedures with traditional compression or angioseal haemostasis.

Methods: Data were collected from a cardiac unit in a medical center in northern Taiwan. A total of 130 adult patients were recruited and equally divided into two groups according to the method of haemostasis used after the coronary procedure: a traditional compression group and an angioseal group. We observed the incidence of access site complications, including bleeding, oozing, haematoma formation, and arteriovenous fistula formation. In addition, we used a 0-10 numeric rating scale to assess soreness, numbness, and back and groin access site pain after 1 h of catheter removal and immediately before getting out of bed.

Results: The overall incidence of complications was 3.8 % (n = 5), which was not significantly different between the two groups (p = .06). The propensity score--adjusted multivariate analyses revealed that the only independent predictor for access site complications was an age of >70 years (OR, 10.44; 95 % CI, 1.81-60.06; p = .009). Comfort levels were higher in the angioseal group than in the traditional compression group.

Conclusions: Angioseal used after coronary procedures did not increase the incidence of complications relative to that associated with traditional compression haemostasis; however, it increased patient comfort levels. Health personnel should pay special attention to the predictive factor for access site complications after coronary procedures, such as age >70 years.

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Flow chart for patient recruitment
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References

    1. Pollard SD, Munks K, Wales C, Crossman DC, Cumberland DC, Oakley GDG, Gunn J. Position and mobilization post-angiography study: a comparison of 4.5 hours and 2.5 hours bed rest. Heart. 2003;89(4):447–8. doi: 10.1136/heart.89.4.447. - DOI - PMC - PubMed
    1. Batyraliev T, Ayalp MR, Sercelik A, Karben Z, Dinler G, Besnili F, Ozgul S, Perchucov I. Complications of cardiac catheterization: a single center study. Angiology. 2005;56(1):75–80. doi: 10.1177/000331970505600110. - DOI - PubMed
    1. Hamel WJ. Femoral artery closure after cardiac catheterization. Crit Care Nurse. 2009;29(1):39–46. doi: 10.4037/ccn2009157. - DOI - PubMed
    1. Piper WD, Malenka DJ, Ryan TJ, Shubrooks SJ, O’Connor GT, Robb JF, Farrell KL, Corliss MS, Hearne MJ, Kellett MA, Watloms MW, Bradley WA, Hettleman BD, Silver TM, McGrath PD, O’Mears JR, Wennberg DE, Northern New England Cardivascular Disease Study Group Predicting vascular complications in percutaneous coronary interventions. Am Heart J. 2003;145(6):1022–9. doi: 10.1016/S0002-8703(03)00079-6. - DOI - PubMed
    1. Katz SG, Abando A. The use of closure devices. Surg Clin N Am. 2004;84(5):1267–80. doi: 10.1016/j.suc.2004.05.006. - DOI - PubMed

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