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Nonfemoral Arterial Hemostasis Following Percutaneous Intervention Using a Focused Compression Device.
- Source :
-
Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2020 May; Vol. 43 (5), pp. 714-720. Date of Electronic Publication: 2020 Feb 10. - Publication Year :
- 2020
-
Abstract
- Purpose: Upper extremity and tibiopedal arterial access are increasingly used during endovascular therapies. Balloon compression hemostasis devices in these anatomic locations have been described, but most utilize a compression surface extending well beyond the puncture site. We report single-center experience with an arterial puncture-focused compression device following upper extremity and tibiopedal access.<br />Patients and Methods: A series of 249 focused compression hemostasis devices (VasoStat, Forge Medical, Bethlehem, Pennsylvania, USA) were used in 209 patients following lower extremity (n = 63) and upper extremity (n = 186; radial: 90%) arterial access procedures using 4-7 French sheaths. Demographic, operative, and follow-up data were collected. Logistic regression was used to evaluate potential association between patient/operative variables and time to hemostasis.<br />Results: Primary hemostasis was achieved in 97.2% (242/249) following sheath removal; in 7 cases (2.8%) puncture site oozing occurred after initial device removal and required reapplication. Secondary hemostasis was 100% (249/249). Seven complications (2.8%) were recorded: 5 minor hematomas (2%) and 2 transient access artery occlusions (0.8%). Mean time to hemostasis enabling device removal was 55 ± 28 min. Elevated body mass index (BMI) was not associated with increased time to hemostasis (p = 0.31). Accessed artery, sheath size, and heparin dose were also not associated with time to hemostasis (p = 0.64; p = 0.74; p = 0.75, respectively).<br />Conclusions: The focused compression hemostasis device enabled rapid hemostasis with a low complication rate. Time to hemostasis was independent of BMI, access site, sheath size, or heparin dose.
- Subjects :
- Female
Humans
Lower Extremity blood supply
Lower Extremity surgery
Male
Middle Aged
Time Factors
Treatment Outcome
Upper Extremity blood supply
Upper Extremity surgery
Hemostasis physiology
Hemostatic Techniques instrumentation
Intermittent Pneumatic Compression Devices
Vascular Surgical Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1432-086X
- Volume :
- 43
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Cardiovascular and interventional radiology
- Publication Type :
- Academic Journal
- Accession number :
- 32043200
- Full Text :
- https://doi.org/10.1007/s00270-020-02431-7